EMS EMT_REF Trauma Part 2

EMS EMT_REF Trauma Part 2 - Musculoskeletal Injuries...

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Unformatted text preview: Musculoskeletal Injuries Anatomy review The skeletal system Joints Ball and Socket Joint Hinge Joint Function of Musculoskeletal System Body Shape Protect Internal Organs Movement Voluntary (Skeletal ) Muscle Attaches to bones Major muscle mass of body Responsible for movement Under conscious control Injuries to Bones Mechanism of injury Direct force Indirect force Twisting force Bone or joint injuries Types Open-break in the continuity of the skin Closed-no break in the continuity of the skin Signs and symptoms Deformity or angulation Pain and tenderness Grating, or crepitus Swelling Bruising (discoloration) Exposed bone ends Joint locked into position Nerve and blood-vessel compromise Emergency medical care of bone or joint injuries Take body substance isolation precautions. Administer oxygen if not already done and indicated. After life threats have been controlled, splint injuries in preparation for transport. Apply cold packs to area of painful, swollen, deformed extremity to reduce swelling. Elevate the extremity if appropriate. Splinting Reasons Splinting prevents motion of bone fragments, bone ends, or angulated joints. It can minimize the following complications: Damage to muscles, nerves, or blood vessels caused by broken bones Conversion of a closed painful, swollen, deformed extremity to an open painful, swollen, deformed extremity Restriction of blood flow as a result of bone ends compressing blood vessels Excessive bleeding due to tissue damage caused by bone ends Increased pain associated with movement of bone ends Paralysis of extremities due to a damaged spine General rules of splinting Assess pulse, motor, and sensation distal to the injury prior to and following splint application and record findings. Immobilize the joint above and below the injury. Remove or cut away clothing. Cover open wounds with a sterile dressing. Pad Splint Do not intentionally replace the protruding bones. NYS Guideline Align with gentle traction before splinting if there is a severe deformity or the distal extremity is cyanotic or lacks pulses. Joint Injury Joints should be immobilized in position found unless the extremity distal to the injury site is cyanotic or lacking a palpable pulse. Attempt to slightly reposition lacking a palpable pulse....
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This note was uploaded on 04/28/2008 for the course HSC HC26 taught by Professor W.lee during the Summer '08 term at Suffolk.

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EMS EMT_REF Trauma Part 2 - Musculoskeletal Injuries...

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