Quick Answer
Moving someone with a suspected fracture is generally not advisable unless absolutely necessary, as it can cause further injury or displacement of the fracture. If movement is unavoidable, prioritize stabilization and support to minimize the risk of exacerbating the injury.
Assessing the Situation
When encountering someone with a suspected fracture, the priority is to ensure the scene is safe and the individual’s airway, breathing, and circulation (ABCs) are stable. If the injury is to an extremity, try to keep the affected limb still and avoid any movement that might cause further injury. If the fracture appears to be in the spine, neck, or head, do not move the person unless they are in imminent danger.
Stabilizing the Injury
To stabilize a suspected fracture, follow the RICE principle: Rest, Ice, Compression, and Elevation. For an upper limb fracture, keep the arm straight and use a sling to support the elbow. For a lower limb fracture, elevate the injured leg above the level of the heart and use a splint to immobilize the knee and ankle. Apply a cold compress to reduce swelling and pain, but avoid direct contact with the skin.
Immobilizing the Patient
If movement is unavoidable, use a rigid splint to support and immobilize the injured area. For a femur (thigh bone) fracture, use a long, rigid board to immobilize the leg and prevent further displacement. For a forearm fracture, use a rigid splint to immobilize the wrist and maintain the arm in a neutral position. Always prioritize the patient’s comfort and safety during immobilization.
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