When dealing with an open fracture, the first consideration is to control the bleeding, after which the site can be wrapped without cutting off circulation. Discover how to make a splint to make the patient more comfortable with help from an emergency medical technician in this free video on treating open fractures. Expert: Rebecca Boutin Bio: Rebecca Boutin has worked for the city of Westfield, Mass. as an emergency medical technician, paramedic and firefighter since 1999. Filmmaker: Christian Munoz-Donoso

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7 Comments

  • BobbiJNelson1988

    October 18, 2010 - 6:32 am

    its not a pertruding bone so yes you would apply direct pressure to control any bleeding der!!

  • Dermbet

    October 18, 2010 - 7:32 am

    Good video, but people don’t carry splints, so it’s not realistic

  • milkjugman666

    October 18, 2010 - 8:13 am

    lol @ applying pressure on an open fracture

    splints aren’t meant to control bleeding, they immobilize the broken limb to prevent further damage/massive shock/pain to the patient

    a good way to check for circulation on an unconscious patient is capillary refill of the nail. where you squeeze their nail until it turns white, then count how many seconds it takes to return to normal color. shouldn’t take less than 2-3 seconds.

    if patient is losing enough blood from an open fracture: use tourniquet

  • starbird14

    October 18, 2010 - 8:42 am

    I want black gloves, where do you find those O_O

  • zuludelta100

    October 18, 2010 - 9:09 am

    WRONG

  • HeBreaksLate

    October 18, 2010 - 9:19 am

    @m11nus Applying pressure to an open fracture will cause more damage, but you have to remember life over limb. If the patient is losing enough blood, you’re primary concern is to stop the bleeding to prevent shock. That’s a tough judgment call (one I hope to never have to make). BTW, I am speaking from being certified as an OEC Technician and your local protocol may be different and takes precident.

  • m11nus

    October 18, 2010 - 9:42 am

    You guys are life-savers! I’m supposed to be studying this right now but I can only retain so well by reading paragraphs! One thing though, my EMR book tells us to never apply pressure to an open musculoskeletal injuries… thoughts?

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