Bone traumatism

Fracture: The loss of continuity of bone.

Symptoms of fractures:

  • Pain that increases with the mobilization of the area.
  • Deformity, blurring, (depending on the degree of deviation from the fragments), shortening, etc.
  • Swelling and bruising.
  • Marked functional impotence.

Complications:

  • Possibility of injury to surrounding soft tissues, blood vessels, nerves, etc.
  • Hemorrhage and shock, injury to the vessels.
  • Infection (open fractures) in the wound.
CAUTION: Older people tend to fall down for no apparent reason. Always suspect that the existence of a fractured pelvis (hip) or femur is the cause of the crash. Therefore, before immediately incorporating the victim, we must ensure the existence of the injury. Sometimes, symptoms are vague and can appear as  pain in the knee, groin, or simply no initial pain. The fracture is detected by deep palpation in the buttocks.

First aid for fractures:

  • DO NOT move the victim unless absolutely necessary (risk of fire, etc.) to avoid aggravating the fracture.
  • Remove rings, bracelets and watches (in case the upper limb is affected).
  • Explore the mobility, sensitivity and distal pulse.
  • Lock the focus of fracture (without reducing it), including adjacent joints, with rigid splints and avoiding sudden movements or moving the affected area.
  • Transfer to hospital for definitive treatment with elevated limbs (if affected), once they have been immobilized.
  • Cover the wound with sterile dressings in the case of open fractures before immobilization and inhibit bleeding (if any).