True or False? You are proving care to a 28-year-old male who fell from his motorcycle and has sustained an open fracture to this right lower leg with the bone protruding through the skin. Your first step in the treatment is to immobilize the leg in the position found.
IT IS THE CASE OF FRACTURE
AND FRACTURE IS DEFINED AS THE ANY BREAKDOWN IN THE CONTINUITY OF THE BONE.
THERE ARE VARIOUS TYPE OF FRACTURE SUCH AS CLOSED FRACTURE, COMMUNITED FRACTURE, GREENSTICK FRACTURE, OPEN FRACTURE ETC,
THE FRACTURE IN THE GIVEN SCENARIO IS THE OPEN FRACTURE, IT IS THE TYPE OF FRACTURE IN WHICH BONE IS VISIBLE THROUGH THE SKIN AND ALSO WOUND ON THE SKIN IS CREATED DUE TO BONE FRACTURE, AND IT REQUIRES A SPECIAL TREATMENT THAN A CLOSED FRACTURE.
AS THE WOUND IN OPEN FRACTURE ARE MORE PRONE TO DEVELOP INFECTION BECAUSE IT IS OPEN IN THE ENVIRONMENT THAT'S WHY PROPER AND IMMEDIATE ATTENTION SHOULD BE GIVEN TO THE OPEN FRACTURE.
THE FIRST THING THAT IS TO BE DONE IN OPEN FRACTURE IS TO APPLY PRESSURE TO CONTROL HEMMORAGE / BLEEDING AT INJURY SITE BY PLACING STERILE GAUZE, LOSS OF EXCESSIVE BLOOD CAN LEAD TO HYPOVOLEMIC SHOCK AND PATIENT CAN DEVELOP OTHER COMPLICATIONS BECAUSE OF THE LOSS OF BLOOD SUCH AS RESPIRATORY DISTRESS, FURTHER APPLICATION OF THE ICE AND THE ELEVATION TAKES PLACE,
ELEVATION IS VERY MUCH NECESSARY IT IS DONE WITH THE HELP OF PILLOWS AND THE TRACTION TO MAINTAIN VENOUS RETURN.
'RESTRICTING MOBILITY OF THE FRACTURED SITE IN OPEN WOUND IS THE SECOND PRIORITY AND THE FIRST PRIORITY IS TO APPLY PRESSURE TO CONTROL BLEEDING.'
SO, THE OPTION "FALSE " WILL BE THE RIGHT ANSWER FOR THIS QUESTION.
BUT IT IS NOT APPLICABLE IN CLOSED FRACTURE WHERE THE BONE HAS NOT COME OUT OF THE SKIN AND ALSO NO HEMMORAGE IS SEEN, IN THIS CASE, THE FIRST PRIORITY WILL BE IMMOBILISING THE FRACTURED PART, AND ALSO SEEK MEDICAL ATTENTION IMMEDIATELY TO PREVENT FROM THE SHOCK, LATER ICE AND ELEVATION OF THE FRACTURED PART IS DONE.
ALSO, 5PS SHOULD BE CHECKED REGULARLY TO ASSESS NEUROVASCULAR INTEGRITY
5PS ARE
1.PULSE
2. PALLOR.
3. PAIN.
4. PARALYSIS.
5. PARASTHESIA
IT SHOULD BE CHECKED ON THE REGULAR BASIS TO AVOID ANY NEUROVASCULAR COMPLICATIONS.
ALONG WITH THAT CAPILLARY REFILL SHOULD BE CHECKED TO KNOW THE CIRCULATION BY PRESSING THE FINGER OF THE AFFECTED SITE.
HENCE FALSE IS THE CORRECT ANSWER.
True or False? You are proving care to a 28-year-old male who fell from his motorcycle...
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