First Aid for Splints & Bleeding Wounds : How to Tell if Someone Needs a Splint

My name is Alv Rios and I am a paramedic with
Lansing Mercy Ambulance on behalf of Expert Village. In this clip we are going to go over
assessment of the fracture. It’s important that when you approach a fracture, what you
do is don’t get distracted. A lot of times people can see a fracture of the arm and they
are engrossed by that and they don’t notice something such as major blood loss in the
leg which is actually the life threat to the patient. When you do approach the fracture
what you want to do is first visualize to make sure that the bone is not out of the
skin. If the bone has been exposed to the skin it is referred to as an open fracture.
Next thing you want to do is you want to check to make sure that the patient has pulse, movement
and sensation. Something we refer to as PMS. You want to come up and you want to go distal,
which means further and the extremity that where the fracture injury site is. Distal
to the injury check for a pulse. In this case if it was an arm fracture you would check
the radial pulse. Once you realize that they have a pulse that means that you do have blood
flow going past the injury site. You then want to check to make sure that the nerves
are still in tact. You want to ask them if they can feel you touching their hand. If
they say they can feel you touching their hand you want them to not look at you while
you squeeze one of the fingers. And you want to ask them if they can tell you which finger
you are squeezing. If the correctly identify it then they have good pulse, movement and
sensation and then you can go onto immobilizing the limb.

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