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1、bone,Jolnt,NIuUSsCcIe,plIntS,Extremities(Chapters12,13,14)Fractures*Open/compound-SkinisbrokenordamagedTypesofFractures:cutsacrossboneatrightangles:incomplete(children)slantendsofbonejammedtogethersplinteredorcrushedLOOKFor:-Circulation,sensation,movement。Pointtenderness-(childsleg)*Crepitus:grating
2、sensationoftheinjuryFractures:WhatToDo。Mostarenotlifethreatening-Pelvis,spinalbreaksareexceptions(removeclothingaroundinjufy)-Pain,location,numbness,tinglingFractures:WhatToDo#2“CheckCSM(p.212)-Nocirculation?Emergency!*Gentlymanipulatetorestorebloodflow*“Bohnecoulddepressvesselsornerves*Capillaryref
3、illtestaneaala-SqueezefingersandtoesFractures:WhatToDo#3*Controlbleeding*Coverwoundsbeforesplinting*SplintRICESignsofFracturesatSpecificSites*ClavicleHumorous。RadiusandUIna-Maybeabsentofdeformity-Painonrotation。Wrist-Lump-likedeformitySignsofFracturesatSpecificSites#2*Finger-Can“tmove-OftenhastwistedlookCompare-Percussiontest(Kini)*ToesTibiaandfibula-ServeassplintsforeachotherStressFracturesIncreasedpainpostactivity*OveruseX-raymaynotshowfracture*Maydevelopintofulifralcture*Tibiaandbonesinfeet(commonsites)