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chapter 22 : Muscle, Bone And Joint Emergencies

Defined:

This emergency occurs when a muscle, bone or joint moves in a direction that it is not
supposed to go. This movement can lead to broken bones, sprains, fractures and other
injuries.

Causes:

  • Falling, tripping
  • Motor vehicle accidents
  • Running, walking, exercise
  • Sports, physical activity
  • Sudden impact
  • Signs and Symptoms:

  • Bruising and swelling
  • Bone fragment(s) sticking out
  • Coldness, numbness
  • Discoloration (blue)
  • Deformity
  • Inability to use the affected part normally
  • Pain
  • Snapping or popping sound at time of injury
  • Common Emergency Example(s):

    Fracture / Broken Bone:

    A fracture is a complete break, a chip or a crack in the bone. An open fracture involves an
    open wound, and is when a bone end tears through the skin. An open fracture is more
    dangerous and severe. However, a closed fracture is more common.

    Dislocation :

    A dislocation is the movement of a bone at a joint from its normal position. When the bone is
    moved out of place, the joint no longer functions. Usually dislocations happen at the
    shoulder, elbow, wrist, jaw and hip.

    Sprain / Strain :

    A sprain is the tearing of the ligaments at a joint. Sprains mostly occur at the ankle, knee,
    wrist and fingers. A strain is the stretching and tearing of a muscle. They usually occur in
    the neck, back, thigh, or the back of the lower leg.

    Use RICE method when dealing with a sprain or strain:

    Rest: Do not move or straighten the injury.

    Immobilize: Try to stabilize the person in the position he/she was found.
    Splint or sling the injured part only and use caution if moving the person.

    Cold: Indirectly cool the part using ice for up to 20 minutes.

    Elevate: Only elevate the part if it does not cause more pain.

    First Aid Actions / Treatment :

    • Assess the scene and check for your safety.
    • Get a First Aid kit and wear personal protective equipment.
    • Apply a clean dressing on any open wounds. Don’t move any body part that is deformed
      or bent (fractured).
    • If person is experiencing:
      • Closed Fracture / Dislocation: keep injured area
        still; apply a light padding underneath injured area and apply a broad
        sling; tie the affected part with another limb of the body or another body
        part to keep it sturdy from movement
      • Sprain / Strain: place a cold pack or a plastic bag
        filled with water and ice on a towel and then on the injured area (up to 20
        minutes); use RICE method detailed above
    • Activate EMS (Call 9-1-1) if the open wound is large.