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Fractures

Learning Outcomes:
  • Immobilize a fracture by supporting the joints above and below it, using slings for arms or the uninjured leg as a splint

  • Manage an open fracture by applying firm pressure around the wound (not on the bone) and covering it with a sterile dressing

  • Monitor for and treat shock, and check for signs of circulation or nerve damage (like numbness or paleness) after immobilization

Lesson Content:

What is a Fracture? 

A fracture is a broken or cracked bone caused by trauma, falls, direct blows, or accidents. Some fractures are closed (skin intact), while others are open (bone pierces the skin).
 

Causes

  • Falls from a height

  • Direct impact or blow

  • Twisting injuries

  • Accidents such as road collisions

 

Types of Fractures

  • Closed fracture: bone broken but skin not pierced

  • Open fracture: bone breaks through the skin, higher risk of infection

Signs and Symptoms

  • Pain and tenderness over the injured area

  • Swelling and bruising

  • Deformity or unusual angle of the limb

  • Difficulty moving or using the affected part

  • Bone protruding through the skin (open fracture)
     

Dangers

  • Severe bleeding (especially in open fractures)

  • Damage to nerves or blood vessels

  • Infection in open fractures

  • Shock from pain or blood loss
     

Actions to take

  • Call for emergency help

  • Look for signs of severe bleeding, shock, or open wounds

  • Immobilize the fracture

    • Support the injured limb in the position you found it

    • Do not try to straighten or move the bone back into place

    • Control bleeding

    • Use immobilisation techniques and slings to help

  • Reassure casualty and support injured area

  • Monitor vital signs 

 

What NOT to Do

  • Do not move the casualty unnecessarily

  • Do not try to push a bone back in

  • Do not give food or drink in case surgery is needed
     

Prevention Tips

  • Use protective gear during sports and work

  • Keep floors and walkways clear to prevent falls

  • Strengthen bones with a healthy diet and regular exercise

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