A 42-year-old man has fallen 25 feet while rock climbing. He hit the ground feet first and suffered open fractures to both tibias, which are protruding through the skin. When you arrive, he is responding to painful stimuli. His airway is open, his breathing is adequate, and his radial pulse is strong and rapid. At this point in his care, it is a priority for you to:
a. cover him to help prevent shock.
b. look for other injuries.
c. obtain a medical history from his friends.
d. immobilize the fractures.
Question 2
You respond to a 9-year-old boy who was injured in the terrain park. He is complaining of pain in his right wrist. Upon examination you note deformity and swelling of the right wrist, pinkness of the right hand, and a strong radial pulse. Which of the following actions would be part of the proper care for this boy?
a. Straighten the wrist to promote blood flow to the hand.
b. Maintain the wrist below the level of the heart to decrease swelling.
c. Apply a cold pack to the wrist to reduce swelling.
d. Massage the wrist gently to decrease the pain.
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