You and a fellow patroller respond to a snowboard injury in a 12-year-old boy who fell on his outstretched arm. His left wrist is swollen and ecchymotic. A radial pulse is readily palpated, and the skin on the hand is warm to the touch. Which of the following instructions to your partner indicates that you have a proper understanding of the care for this patient's arm?
a. After we splint his wrist, we will need to apply a sling and swathe to prevent further movement.
b. When you splint that arm, make sure that it is somewhat loose so the patient can move it if he becomes uncomfortable.
c. Make sure to wrap that splint as tightly as you can; we need a lot of pressure to prevent additional swelling.
d. Since he still has a pulse in the arm, the swelling must be from a muscle injury. We can forego the splint and just apply ice packs.
Question 2
You are watching an OEC candidate apply a splint to an injured patient. You note that the splint appears to be loose, and you assist the candidate in properly applying it. After you have delivered your patient to the aid room, you explain to the candidate that a splint applied too loosely could result in:
a. damage to muscles, nerves, and blood vessels.
b. conversion of an open fracture to a closed fracture.
c. decreased pain to the fracture site.
d. new fractures along the bone.
Infant: 4 weeks to 1 year.
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