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Injuries to the Extremities

Injuries to the Extremities

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Injuries to the Extremities

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  1. Injuries to the Extremities Dan Knight Matt Hubek

  2. What’s an Extremity? • An extremity is any limb of the body • Injuries range from contusions to amputations • Include: - bones - soft tissues - blood vessels - nerves

  3. Responding to Injuries • Signals: - Pain - Swelling - Deformities • Why should you immobilize? -Lessens pain and prevent further injury • What should you use? -SPLINTS

  4. Types of Splints • Soft splints: • Blankets, towels and pillows • Rigid splints • Padded boards,folded magazines or metal strips • Anatomic splints • Other body parts • Ex) think of two fingers taped together

  5. Slings • Type of Splint • Uses triangular bandage and a Binder or Swathe • Designed to immobilize and provide stability

  6. Applying a Splint • Basics • Support the victim • Check for circulation • Cut off clothing around are • DO NOT allow person to bear weight or move it • Specific instructions will be covered later

  7. Extremities • Upper Extremities • The Arms • Shoulders, Upper Arms, Elbow and hands • Lower Extremitites • The legs • Thighs, Knees, and Lower legs

  8. Upper Extremities – Shoulders/Upper Arm • Frequent Injuries include • Breaking Clavicle • Dislocation of shoulder • Think of Arron Rodgers against the bears… • Control bleeding and try to minimize shock • This next image is disturbing …

  9. Upper Extremities – Elbow • Same Care as before except… • If the elbow is deformed still splint • If it is straight, immobilize w/ rigid splints • Pictures will become more graphic from this point… • Seriously…

  10. Upper Extremities – Wrist/Hand • Splint forearm by placing it underneath • If a single finger is injured, use anatomical splint with other finger • If there are multiple broken fingers: • Place bandage around • Allow fingers to curl • Wrap the entire hand and splint

  11. Lower Extremities - Thigh • Main concern is breaking of the femur • If it breaks • Control bleeding • Alert EMS • Realize shock is likely

  12. Lower Extremities - Knee • Most common in athletic activities • Be aware at athletic events • To care • Use padded rigid splints • Inside splint start at the groin • Outside should start at the hip

  13. Lower Extremities – Lower Leg • Similar care to others except • Try and apply anatomic splint between the legs if possible

  14. Lower Extremities – Ankle/foot • Most common for rolled ankles • Athletic competition • Similar care to other Injuries

  15. Applying a sling • Get consent • Suport injury • Check Circulation • Position Sling • Secure Sling • Bind with Bandage • Recheck circulation • www.youtube.com/watch?v=OJZGuGa8JEY

  16. Applying a Rigid Splint • Get consent • Support injury • Check Circulation • Place Splint • Add Bandages • Recheck Circulation

  17. Applying an Anatomic Splint • Get Consent • Support Injury • Check circulation • Position bandage • Align body parts • Tie bandages

  18. QUestions • For a sling you use a triangular bandage and a ___________________. • Name one of the two most frequent injuries to the upper arm _____________________. • Main concern of injury to the thigh is ____________________. • Should you use an anatomical splint if there is more than one broken fingers? Yes or no? • Where do most knee injuries occur? _________________________

  19. Scenario. • You are at a Louisville basketball game, sitting courtside. Kevin Ware is making his comeback and everyone is extremely excited. In warm ups, Kevin tries to dunk, then slips and suffers ANOTHER career ending injury where his knee is severely dislocated. What would you do? Be specific.