3. If there is a break in the skin surface, it can be rinsed to remove any visible dirt or other potential contamination. However, vigorous flushing or scrubbing of the wound should be avoided.

4. The broken bones can be immobilized with either a splint or string. Rolls of newspaper or strips of wood can be used. It is important to immobilize the area both above and below the injured bone.

5. Ice packs can be applied to reduce pain and swelling (Not to be placed directly over the wound.

NOTE: DO NOT move the person if a head, neck, or back injury is suspected as this can worsen the injury, leading to life threatening complications.

 Blood Circulation of a Fractured Area

 Following fracture, it is necessary to examine the effect of the fracture on blood circulation.
 This can be done by pressing firmly over the skin beyond the fracture site. For example, if the fracture is in the leg, press on the foot.
 It should first blanch white and then "pink up" in about two seconds.

Signs of lack of blood supply

 Pale or blue skin

 Numbness over the affected area

 Loss of pulse

 If circulation is poor and trained personnel are NOT quickly available, try to realign the limb into a normal resting position.

 This will reduce swelling, pain, and damage to the tissues from lack of blood.




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