Should You Attempt To Set A Bone If You Suspect It’s Sprained?

Understanding the Difference Between Sprains and Fractures

When assessing a suspected injury, it’s crucial to differentiate between a sprain and a fracture. A sprain occurs when a ligament, which connects bones to each other, is stretched or torn, often due to overstretching or twisting. In contrast, a fracture occurs when a bone is broken, either in a clean break or a comminuted break. If you suspect a sprain, look for signs such as swelling, bruising, and tenderness around the affected area, but not necessarily deformity or crepitus (grating sensation). If you’re unsure, it’s always best to err on the side of caution and seek medical attention.

Improvised Bone Setting and Reduction

If you suspect a fracture, and the patient is in immediate danger (e.g., unable to breathe or move), you may need to perform an improvised bone setting and reduction. To do this, follow these steps: 1) stabilize the patient with a backboard or other rigid material, 2) assess the fracture and determine the best way to reduce it (e.g., apply traction or use a manual reduction technique), 3) use splints or immobilizers to hold the bone in place, and 4) apply a traction splint to maintain alignment and reduce pain. When applying a traction splint, use a minimum of 2-3 pounds of tension and secure the splint to the affected limb with elastic bandages or tape.

Pain Management and Evacuation

Pain management is crucial when dealing with a suspected fracture. Administer pain medication such as acetaminophen or ibuprofen as needed, but avoid overmedicating, which can lead to respiratory depression or other complications. Additionally, use cold compresses or ice packs to reduce swelling and ease pain. Once you’ve stabilized the patient and provided pain management, it’s time to consider evacuation. If possible, transport the patient to a medical facility with a functioning orthopedic department. If this is not feasible, prepare the patient for remote or makeshift medical care, and be prepared to provide ongoing pain management and wound care.