Except on emergency ambulances, first aid after fractures is more likely to be rendered by lay rescuer then physician. In many instances this is critical part of the whole treatment.  It is necessary to know principles of first aid to use while serving as ambulance personal, but it is even more important to be able to guide and instruct general public. “Splint ‘em where they lie” is properly the first principle in fracture treatment, if it is lived up to; it is obvious that splinting will be rarely done by a physician.  In first aid, splinting should be considered only a mean of aiding transportation and not a part of the definite treatment. The physicians should be prepared to instruct the public on most effective manner to transport a patient with a fracture to the hospital or a doctor’s office. In general, those trained in first aid and CPR by red cross, boy scouts, EMS…etc..Know more about first aid than most physicians, because little responsibility is accepted until injured person arrives at the hospital.

Principles of First Aid:

-If suspicious that a fracture is present, give care as for a fracture.

- Combat any existing shock.

- Avoid any unnecessary manipulation.

- Protect any existing wound by the best means available.

- Splint properly before transporting the patient.

Injured person should be examined quickly in attempt to determine whether he is seriously hurt. One should depend on pain, loss of function or deformity for emergency diagnosis of fracture. If the patient thinks that he felt a bone snap, for first aid purposes one should be satisfied with this history and not attempt to prove diagnosis on the street. If suspicious that fracture is present always treat the patient as if the diagnosis of fracture had been confirmed. The saving of life comes first and the saving of limb second. If the patient is in shock, it demands treatment before anything is done for the broken bone. There is no use in splinting a limb carefully while neglecting to treat shock from which the patient may be dying.

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  1. admin says:

    The first degree burn is mild and of such superficial nature that blebs don’t form. The extend of the second and third degree burn can be deceiving to first aid rescuer, with chain of events including or excluding pain, alterations in blood flow, lymph flow, blebs forming, nerve damage, cell necroses, ETC..
    Some times in enclosed spaces, flames and hot gases may burn the respiratory tract as low as the trachea.
    The measures to apply are considered separately for clarity, but must be synchronized and the plan depends on particular situation. The first aid treatment of the burn surface is reviewed first because it should be initiated ASAP and not because it is immediate life saving measure. When the burn occurs the wound is considered sterile and should be kept that way by protecting with sterile dressing soon as possible.
    Following first aid treatment by lay rescuer, physician is competent to judge extend and depth of the burn and victim should be brought to the hospital ASAP.
    Also remember that first complication of serious burn is a shock which could be life threatening.
    Get victim to the hospital asap, by EMS if possible.

  2. lightning says:

    Interesting, is it safe to speed in order to get the patient to the hospital in time ? Maybe the stats show different and not all areas are the same, the ones with high teck intersection stop lights versus the ones without them.

    • Aleksandra says:

      What would you recommend as first aid procedure when individual is transporting someone with second degree burns, and EMS transport is not available? I know first aid treatment of burns consists of the preservation of life and prevention of complications, but for sake of clarity, would you treat this burns first or leave them untreated and just take victim to the hospital.

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