FRACTURES / SPRAINS OF EXTREMITIES                                                                                                            SOG 9.14

Basic

I. Initial Assessment

Be alert and treat for shock.
II. Focused History and Physical Exam
Identify mechanism of injury.
Splint in position found unless realignment is necessary for transport.
Check pulse and sensation distal to the injury before and after splinting.
III. Ongoing Assessment
Protect injury from excessive movement.
Apply cold packs to injury site when practical.
Elevate injured limb if possible.
Apply manual traction when signs and symptoms suggest possible femur fracture.