(10 True/False questions with explanations).
An open fracture is where the skin has also been broken.
TRUE: This can lead to increased bleeding and creates a serious risk to infection. Call 999 and let the call taker know that the bone has come through the skin.
Splinting a fractured arm or leg can reduce pain.
TRUE: Splinting a fracture will also protect the limb from further injury as the patient moves about.
Pain killers can reduce the pain from a suspected fracture
TRUE: Pain killers can’t be stored in the First Aid kit at work so it’s worth having your own supply
Splinting a suspected fractured rib is advised.
FALSE: The ribcage must not be restricted
A fractured pelvis can be life-threatening.
TRUE: Major blood vessels run close to the pelvis. A fall from height or being struck by a vehicle could fracture the pelvis. Do not move the patient. Call 999.
Any fractured arm is serious. Call 999.
FALSE: A simple closed fracture of the arm is painful. The patient could take their own pain killers, support their injured arm (preferably in a sling) and be taken to hospital or Minor Injuries Unit by car or other vehicle. You can always call 999 if the situation changes.
Straw coloured fluid coming from the ear is a sign of a fractured skull.
TRUE: straw like fluid, possibly tinged with blood coming from the ears or nose is a sign that the skull has been fractured and the fluid that surrounds the brain is leaking out.
When attending an incident, understanding what happened will give clues as to likely injuries.
TRUE: This is known as the ‘Mechanism of Injury’. The bigger the forces involved, the more serious the injuries are likely to be.
All adults have bones of equal strength.
FALSE: Bone strength varies with age, sex, race, lifestyle, disease, and medications taken, for example. Don’t assume that just because the forces seemed small, that there are no broken bones.
If you suspect someone has a spinal injury, you must not move them, even if they are lying on their back and choking on blood or vomit.
FALSE: The airway takes priority. You can modify the recovery position to maintain the airway. This manoeuvre is known as a log roll and needs at least 2 first-aiders or helpers, preferably 4. If you are the only first-aider, perform the recovery position adapted for spinal injury, taking special care of the head.
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