What type of fracture are children most prone to?

Incomplete or greenstick fractures.

What is a dislocation?

When a body part moves beyond it's normal range of motion and is kept in place my muscle spasms.

What should you do for a patient before splinting a stable fracture?

If possible, start the pain management protocol before splinting as splinting a MSK injury can be quite painful.

What are the signs of a pelvic fracture?

Pain in the pelvis, hip, groin or lower back. Signs of hypovolemic shock. Suspicious MOI. Incontinence.

What are the different types of fractures?

Closed, open(or compound), transverse, spiral, commuted, impacted, greenstick and oblique.

What is numbness and tingling a sign of in regards to injuries? What is the medical term for numbness and tingling?

A compressed nerve, common with spinal cord injuries. Paresthesia.

What is unique about the 11th and 12th ribs?

They are floating and not attached to the sternum.

When shouldn't you use a pelvic binder?

For hip fractures. (Neck of femur fracture.) Falls from standing height.

What is flail chest? What is a clear sign of flail chest?

Double fracture of adjacent ribs. Paradoxical movement to the diaphragm.

How do you treat a stable mid-femur fracture?

* Initiate pain management protocol * Lay patient supine * Apply splint using STAPLES acronym * Continually asses neurovascular function throughout application/further treatment (bilateral pulse checks)

What does STAPLES stand for?

Size, thigh strap, ankle strap, padding, lbs*, elevate(pully wheel)*, strap(legs together with blanket)* * - Remember to do bilateral pulse checks.

With extremity injuries, what can you always consider the application of? When shouldn't you? How long can you use it?

You can always consider the application of ice. Ice should not be used on unstable or hypothermic patients. 10 minutes on and 5 minutes off.

If a distal pulse is not present and the limb is pale and cool along with grossly angulated. What should you do? What does this possibly achieve?

Attempt to realign it to a neutral position. This may restore blood flow.

What are some indications for a pelvic binder?

Hemodynamic instability (heart rate > 100 or systolic blood pressure < 90 mmHg) Pelvic pain on exam Pelvic instability Decreased level of consciousness Major injury distracting from pelvic exam

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Bone/Fractures

Question	Answer
What type of fracture are children most prone to?	Incomplete or greenstick fractures.
What is the most reliable sign of a fracture?	Deformity
What is a dislocation?	When a body part moves beyond it's normal range of motion and is kept in place my muscle spasms.
What should you do for a patient before splinting a stable fracture?	If possible, start the pain management protocol before splinting as splinting a MSK injury can be quite painful.
What are the signs of a pelvic fracture?	Pain in the pelvis, hip, groin or lower back. Signs of hypovolemic shock. Suspicious MOI. Incontinence.
What are the different types of fractures?	Closed, open(or compound), transverse, spiral, commuted, impacted, greenstick and oblique.
What material connects the ribs together?	Costal cartilage
What is numbness and tingling a sign of in regards to injuries? What is the medical term for numbness and tingling?	A compressed nerve, common with spinal cord injuries. Paresthesia.
What is unique about the 11th and 12th ribs?	They are floating and not attached to the sternum.
When shouldn't you use a pelvic binder?	For hip fractures. (Neck of femur fracture.) Falls from standing height.
What is flail chest? What is a clear sign of flail chest?	Double fracture of adjacent ribs. Paradoxical movement to the diaphragm.
How do you treat a stable mid-femur fracture?	* Initiate pain management protocol * Lay patient supine * Apply splint using STAPLES acronym * Continually asses neurovascular function throughout application/further treatment (bilateral pulse checks)
What does STAPLES stand for?	Size, thigh strap, ankle strap, padding, lbs, elevate(pully wheel), strap(legs together with blanket)* * - Remember to do bilateral pulse checks.
With extremity injuries, what can you always consider the application of? When shouldn't you? How long can you use it?	You can always consider the application of ice. Ice should not be used on unstable or hypothermic patients. 10 minutes on and 5 minutes off.
If a distal pulse is not present and the limb is pale and cool along with grossly angulated. What should you do? What does this possibly achieve?	Attempt to realign it to a neutral position. This may restore blood flow.
What are some indications for a pelvic binder?	Hemodynamic instability (heart rate > 100 or systolic blood pressure < 90 mmHg) Pelvic pain on exam Pelvic instability Decreased level of consciousness Major injury distracting from pelvic exam

Created by: Levelstorm3950

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