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How to treat emergency fractures in children?

How to deal with emergency treatment of pediatric fractures

1. If there are skin wounds and bleeding, remove visible dirt and pressurize it with clean cotton or towels.

2. When open fractures of the extremities (bone fractures exposed through the wound) are bleeding, they must not be misused by cords or wires. A wide cloth strip and rubber hose can be used to tie the wound. Do not tie it too tightly so that it does not bleed, and relax for an hour or two for an hour or two. Upper body strapping tourniquet should be on the upper 1/3 of the upper arm to avoid damaging the phrenic nerve.

3, upper limb fractures can be fixed with wood or wood root, cardboard, and then use a bandage or rope hanging from the neck. Fractures of lower limbs can be tied with wooden or wood roots, or they can be tied together for fixation. Note: If the child is too young, it is best not to fix it so that it will droop naturally and it will be taken to the hospital in time.

4, pelvic fractures, with a wide cloth sticking pelvis, the patient supine, knee half flexion, knee pads under a pillow or clothing, in order to stabilize the body, reduce the shaking.

Clinical manifestations of pediatric fractures

1, systemic performance

(1) Shock For multiple fractures, pelvic fractures, femoral fractures, spinal fractures, and severe open fractures, patients often experience shock due to extensive soft-tissue injuries, massive bleeding, severe pain, or concurrent visceral injury.

(2) Fever There is a large amount of internal hemorrhage at the fracture site. When the hematoma is absorbed, the body temperature rises slightly, but generally it does not exceed 38°C. The risk of infection should be considered when the open fracture body temperature rises.

2, partial performance

Local manifestations of fractures include specific signs and other manifestations of fractures.

3, the unique signs of fracture

(1) Malformation

Displacement of the fracture can change the appearance of the affected limb, mainly manifested as shortening, angulation and prolongation.

(2) Abnormal activities

In normal conditions, the limbs are unable to move and abnormal activities occur after the fracture.

(3) Bone flu or bone rubbing

After the fracture, the two fractures end up rubbing against each other and can produce bone fricative or bone rubbing sensations.

As long as one of the above three signs can be diagnosed, the three types of signs do not eliminate the possibility of fracture, such as inset fractures and fractures. Under normal circumstances, do not check the above signs for diagnosis, because it will increase the damage.

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