Extremity Injuries - Revision history

Treloars at 21:22, 1 December 2025

2025-12-01T21:22:02Z

← Older revision		Revision as of 21:22, 1 December 2025
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	* If open, (compound), fracture:		* If open, (compound), fracture:
	**cover with sterile dressings and immobilize in present position. Apply appropriate splinting and dressings.		**cover with sterile dressings and immobilize in present position. Apply appropriate splinting and dressings.
	**[[Ancef\|ANCEF]] or [[Ceftriaxone\|CEFTRIAXONE]] 1 gm ~~IV/IO~~ for adults or 50 mg/kg ~~IV/IO~~ up to 1 gm for pediatrics		**[[Ancef\|ANCEF]] 1 gm IV/IO for adults or 50 mg/kg IV/IO up to 1 gm for pediatrics OR
			**[[Ceftriaxone\|CEFTRIAXONE]] 1 gm IM for adults or 50 mg/kg IM up to 1 gm for pediatrics

	'''DO NOT MANIPULATE OR REDUCE OPEN FRACTURES.'''		'''DO NOT MANIPULATE OR REDUCE OPEN FRACTURES.'''

Treloars: /* SUSPECTED FRACTURE: */

2025-11-26T23:45:08Z

SUSPECTED FRACTURE:

← Older revision		Revision as of 23:45, 26 November 2025
Line 14:		Line 14:
	* If open, (compound), fracture:		* If open, (compound), fracture:
	**cover with sterile dressings and immobilize in present position. Apply appropriate splinting and dressings.		**cover with sterile dressings and immobilize in present position. Apply appropriate splinting and dressings.
	**[[Ancef\|ANCEF]] or [[Ceftriaxone]] gm IV/IO for adults or 50 mg/kg IV/IO up to 1 gm for pediatrics		**[[Ancef\|ANCEF]] or [[Ceftriaxone\|CEFTRIAXONE]] 1 gm IV/IO for adults or 50 mg/kg IV/IO up to 1 gm for pediatrics

	'''DO NOT MANIPULATE OR REDUCE OPEN FRACTURES.'''		'''DO NOT MANIPULATE OR REDUCE OPEN FRACTURES.'''

Treloars: /* SUSPECTED FRACTURE: */

2025-11-26T23:44:43Z

SUSPECTED FRACTURE:

← Older revision		Revision as of 23:44, 26 November 2025
Line 14:		Line 14:
	* If open, (compound), fracture:		* If open, (compound), fracture:
	**cover with sterile dressings and immobilize in present position. Apply appropriate splinting and dressings.		**cover with sterile dressings and immobilize in present position. Apply appropriate splinting and dressings.
	**[[Ancef\|ANCEF]] 1 gm IV/IO for adults or 50 mg/kg IV/IO up to 1 gm for pediatrics		**[[Ancef\|ANCEF]] or [[Ceftriaxone]] gm IV/IO for adults or 50 mg/kg IV/IO up to 1 gm for pediatrics

	'''DO NOT MANIPULATE OR REDUCE OPEN FRACTURES.'''		'''DO NOT MANIPULATE OR REDUCE OPEN FRACTURES.'''

Treloars: /* SUSPECTED FRACTURE: */

2024-01-31T13:56:23Z

SUSPECTED FRACTURE:

← Older revision		Revision as of 13:56, 31 January 2024
Line 14:		Line 14:
	* If open, (compound), fracture:		* If open, (compound), fracture:
	**cover with sterile dressings and immobilize in present position. Apply appropriate splinting and dressings.		**cover with sterile dressings and immobilize in present position. Apply appropriate splinting and dressings.
	**[[Ancef\|ANCEF]] 2 gm IV/IO for adults or 50 mg/kg IV/IO up to ~~2gm~~ for pediatrics		**[[Ancef\|ANCEF]] 1 gm IV/IO for adults or 50 mg/kg IV/IO up to 1 gm for pediatrics

	'''DO NOT MANIPULATE OR REDUCE OPEN FRACTURES.'''		'''DO NOT MANIPULATE OR REDUCE OPEN FRACTURES.'''

Treloars: /* 6.06 EXTREMITY INJURIES */

2024-01-22T16:36:07Z

6.06 EXTREMITY INJURIES

← Older revision		Revision as of 16:36, 22 January 2024
Line 14:		Line 14:
	* If open, (compound), fracture:		* If open, (compound), fracture:
	**cover with sterile dressings and immobilize in present position. Apply appropriate splinting and dressings.		**cover with sterile dressings and immobilize in present position. Apply appropriate splinting and dressings.
	**[[ANCEF]] 2 gm IV/IO for adults or 50 mg/kg IV/IO up to 2gm for pediatrics		**[[Ancef\|ANCEF]] 2 gm IV/IO for adults or 50 mg/kg IV/IO up to 2gm for pediatrics

	'''DO NOT MANIPULATE OR REDUCE OPEN FRACTURES.'''		'''DO NOT MANIPULATE OR REDUCE OPEN FRACTURES.'''

Treloars: /* 6.06 EXTREMITY INJURIES */

2024-01-22T16:35:11Z

6.06 EXTREMITY INJURIES

← Older revision		Revision as of 16:35, 22 January 2024
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	* If distal pulses are present and neurological function intact, immobilize apparent fractures in present position, (when possible).		* If distal pulses are present and neurological function intact, immobilize apparent fractures in present position, (when possible).
	* If distal pulses are diminished or absent, immobilize apparent closed fracture(s) in neutral anatomic position. Attempt to reduce severely angulated fractures with inline traction, except when a joint is involved. Note pulses distal to fracture site. Apply appropriate splinting and dressings.		* If distal pulses are diminished or absent, immobilize apparent closed fracture(s) in neutral anatomic position. Attempt to reduce severely angulated fractures with inline traction, except when a joint is involved. Note pulses distal to fracture site. Apply appropriate splinting and dressings.
	* If open, (compound), fracture, cover with sterile dressings and immobilize in present position. Apply appropriate splinting and dressings.		* If open, (compound), fracture:
			**cover with sterile dressings and immobilize in present position. Apply appropriate splinting and dressings.
			**[[ANCEF]] 2 gm IV/IO for adults or 50 mg/kg IV/IO up to 2gm for pediatrics

	'''DO NOT MANIPULATE OR REDUCE OPEN FRACTURES.'''		'''DO NOT MANIPULATE OR REDUCE OPEN FRACTURES.'''

Treloars at 15:54, 1 February 2018

2018-02-01T15:54:23Z

← Older revision		Revision as of 15:54, 1 February 2018
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	[[Category:Trauma]]		[[Category:Trauma\|0606]]

Treloars: /* DIFFICULT TO CONTROL BLEED OR TRAUMATIC AMPUTATION: */

2015-02-26T19:45:43Z

DIFFICULT TO CONTROL BLEED OR TRAUMATIC AMPUTATION:

← Older revision		Revision as of 19:45, 26 February 2015
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	**Cleanse amputated part with sterile saline. Wrap in a sterile saline soaked dressing. Place in plastic bag. Attempt to cool with cold pack during transport.		**Cleanse amputated part with sterile saline. Wrap in a sterile saline soaked dressing. Place in plastic bag. Attempt to cool with cold pack during transport.
	**DO NOT APPLY DIRECTLY TO ICE		**DO NOT APPLY DIRECTLY TO ICE
	*Refer to ANALGESIA /SEDATION PRACTICE PARAMETERS (2.04).		*Refer to [[Analgesia and Sedation\|ANALGESIA /SEDATION PRACTICE PARAMETERS]] (2.04).


	[[Category:Trauma]]		[[Category:Trauma]]

Treloars: /* DIFFICULT TO CONTROL BLEED OR TRAUMATIC AMPUTATION: */

2015-02-26T19:43:47Z

DIFFICULT TO CONTROL BLEED OR TRAUMATIC AMPUTATION:

← Older revision		Revision as of 19:43, 26 February 2015
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	**Hemostatic dressing		**Hemostatic dressing
	**[[Combat Application Tourniquet\|Combat Action Tourniquet]] if extremity		**[[Combat Application Tourniquet\|Combat Action Tourniquet]] if extremity
	**iTClamp – not usable on trunk of body		**[[ITClamp Hemorrhage Control System\|iTClamp]] – not usable on trunk of body
	*For amputations:		*For amputations:
	**Splint in line with associated extremity.		**Splint in line with associated extremity.

Treloars: /* ARTERIAL BLEED OR TRAUMATIC AMPUTATION: */

2015-02-26T19:40:24Z

ARTERIAL BLEED OR TRAUMATIC AMPUTATION:

← Older revision		Revision as of 19:40, 26 February 2015
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	====~~ARTERIAL~~ BLEED OR TRAUMATIC AMPUTATION:====		====DIFFICULT TO CONTROL BLEED OR TRAUMATIC AMPUTATION:====
	* If unable to control bleeding, ~~apply tourniquet no more than 2 inches above injury/amputation~~:		*If unable to easily control bleeding, consider the following procedures:
	* ~~Note time tourniquet applied. '''DO NOT RELEASE ONCE IT IS APPLIED.'''~~		**Hemostatic dressing
	* ~~If amputation incomplete, attempt to stabilize with bulky pressure~~ dressing.		**[[Combat Application Tourniquet\|Combat Action Tourniquet]] if extremity
	* ~~Apply a hemostatic (chitosan based) dressing to help stop bleeding~~ if ~~available.~~		**iTClamp – not usable on trunk of body
	* Splint in line with associated extremity.		*For amputations:
	* ~~Refer~~ to ~~[[Analgesia and Sedation\|ANALGESIA /SEDATION PRACTICE PARAMETERS]] (2.04)~~.		**Splint in line with associated extremity.
	* Cleanse amputated part with sterile saline. Wrap in a sterile saline soaked dressing. Place in plastic bag. Attempt to cool with cold pack during transport.		**If amputation incomplete, attempt to stabilize with bulky pressure dressing.
	* ~~'''~~DO NOT APPLY DIRECTLY TO ICE~~'''~~		**Cleanse amputated part with sterile saline. Wrap in a sterile saline soaked dressing. Place in plastic bag. Attempt to cool with cold pack during transport.
			**DO NOT APPLY DIRECTLY TO ICE
			*Refer to ANALGESIA /SEDATION PRACTICE PARAMETERS (2.04).


	[[Category:Trauma]]		[[Category:Trauma]]