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Bush Survival Manual

Bush Survival Manual

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Published by benicio32

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Published by: benicio32 on Jun 19, 2011
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09/24/2012

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The key to the treatment of fractures is immobilisation. A mobile fracture is painful, can cause
internal bleeding, may become compound [break through the skin] and is a major cause of
shock.

Treatment of Fractures

Management of fractures occurs after:
• DRABCD.
• Care of unconscious casualty.
• Control of bleeding.

Then:

• Rest and reassure.
• Handle gently, so as not to increase pain or further damage - cover open fracture to prevent
contamination.
• Immobilise in most comfortable position. e.g. padding, splints and slings.
- The casualty may be able to support the fracture themselves.
- If you have to move a broken bone, support both sides of the break.
- For an arm or a leg, a gentle pull on the hand or foot keeps broken bone ends apart,
lessens pain as you reposition and support the limb. When immobilised, gently release
pull, this is best achieved with help.
- Fracture to the lower leg: remove the shoe and sock from the fractured leg.

• Check blood flow.
• Medical aid.

Methods of Immobilisation

• Fingers - strap the broken one to the adjacent finger
• Legs - strap legs together or splint
• Pelvis - strap legs together

AIDS TO SURVIVAL

66

Fractured Ribs

• Upper arm - collar and cuff sling and bandage upper
arm to chest

• Ribs – pad over injured area, apply broad bandages
over arm and padding, secure to the chest on the injured
side

Note:

If the patient faints with pain do not stop and splint the fracture

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