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Wounds associated with fractures

A fracture with a wound is a complicated fracture and must be managed very carefully. The bone may or may not be visible. The injuries are treated in priority order - that is STOP THE BLEEDING then manage the fracture.

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Management

Stay with the athlete and try to keep them calm.
Wear protective gloves.
Stop the bleeding by;
- applying a sterile non-adhesive dressing
- use a wound pad to apply firm pressure directly to the bleeding area if possible taking care not to move the fracture
- if bleeding persists, relocate or apply a new pad - do not move the original dressing
- apply ice on and around the bleeding area (over the bandage) if possible.
Transport to hospital as soon as possible by ambulance.
If bleeding is not a problem, the wound can be cleaned with a diluted antiseptic then covered with a sterile dressing and a firm bandageif possible.
IMMOBILISE THE INJURED LIMB.