Scientific first aid for fracture dislocation

  With the development of the economy, our standard of living has also been improving. However, inevitably, there are some minor accidents in our daily life or when we go out to play, among which fracture and joint dislocation are frequent accidents.  When people around us are unfortunately attacked by fractures and joint dislocations, it is important to treat the unfortunate people early and correctly. Delayed treatment or improper treatment can increase the difficulty of follow-up treatment, causing serious complications such as skin necrosis, osteomyelitis, nerve and blood vessel damage, and even take away valuable lives. And the accident site, it is difficult to have medical personnel, must be quickly sent to the hospital. How to properly escort, very important.  It is important to remember that in an accident, the casualty may not only have fractures and dislocations, but also other organ injuries, so attention should be paid to finding and first dealing with the most life-threatening injuries. If you find that the casualty has stopped breathing, you should do artificial respiration; if the heart stops, you should perform chest compressions. Breathing, heartbeat are stopped, while doing artificial respiration and chest cardiac compressions.  Wound bleeding, should be carried out to stop bleeding. If the blood flow is bright red and jets out, it is arterial bleeding. Arterial bleeding located in the extremities, can be tied in the proximal end of the limb tourniquet. If there is no tourniquet, available tie, trouser belt, cloth, handkerchief and so on instead, but not with wire, thin wire and other ties to prevent strangulation caused by necrosis. Note that must be tied tightly, to stop bleeding. But also can not be too tight, to prevent damage to the flesh, blood vessels and nerves. For arterial bleeding in the head and neck, the proximal end of the bleeding artery can be pressed with the finger.  For venous bleeding, the blood flow is dark red and gushes out of the wound; for capillary bleeding, the bleeding volume is small and slowly oozes out. These two types of bleeding can be controlled with a tourniquet, but gauze with bandages is also sufficient. If you can’t get these things on the spot, you can use clean towels, handkerchiefs, toilet paper or shirts instead of bandages.  Sometimes open fractures, the broken end is stabbed out of the flesh, do not put it back into the wound. This is because the broken end may be contaminated by bacteria when it comes into contact with the outside world, and putting it back into the wound directly without cleaning and disinfection may aggravate the contamination in the wound.  Fracture and dislocation of the wounded is very painful, the sharp end of the activity may pierce the nearby nerves, blood vessels, should try to fix, in order to reduce pain, to prevent secondary injury. Fixed equipment is usually used in plaster or splint, but the site is often difficult to find, you can use sticks, boards, bamboo poles, cardboard, hard plastic sheets instead. Generally, the upper and lower joints should be exceeded. For example, if you have a forearm fracture, it is more reliable to fix both the elbow and wrist joints.  It is especially important to provide proper first aid for spinal fractures and dislocations at the scene. The spinal canal contains the functionally important but delicate spinal cord and nerves. The spinal cord nerve cells are damaged and necrosis occurs, which is difficult to reverse. The resulting paralysis seriously affects the patient’s health and life, and is often life-threatening.  Therefore, for people injured in car accidents, falls and other accidents, suspected spinal fractures, rescue, transport must be carefully protected to prevent re-injury. Maintain the position of the spine after the injury, do not let the spine bend or rotate.  Never carry the patient on the back, or bowed back to pick up the transport. The correct method of transport is to have three people work together to insert both hands into the back of the patient’s shoulders, waist and hips and the dorsal side of the two lower extremities, while holding them up, maintaining the horizontal position of the spine, and transporting them on a stretcher (or a substitute such as a bedpan) with a flat or rolling method. When transporting, pay attention to maintain a stable.  When turning over, the upper and lower body should be rotated at the same time, to avoid twisting the body “twist” like movements that may damage the spinal cord. If the neck pain, restricted movement, suspected cervical fracture, should be along the longitudinal axis of the body continuous traction head, maintain the cervical spine in a straight position. The casualty should be placed flat on a wooden board during transport, and the cloth should be formed into a mass and stuffed on both sides of the neck to limit the movement of the cervical spine in all directions. All patients with spinal fractures must lie flat on a straight stretcher (or substitute) and be transported smoothly.