Eric Weiss's Comprehensive Guide to Wilderness & Travel Medicine PDF

By Eric Weiss

Progressive strengthen in emergency medication wisdom, strategies, and kit, in addition to a brand new typical of first relief perform permeate the textual content and supply the root for lay humans to supply important emergency care in distant settings.

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After applying traction, check the circulation and sensation in the foot every 30 minutes. If the pulse is lost or diminished with traction, or if the foot turns blue or cold, reduce the amount of traction in the splint until the color and pulse return. 76 Fractures Fractures ‘Weiss Advice’ Traction Splint (cont’d) Fig. 39 - Completed fermoral traction splint with Prusik knot used as an anchor for pulling traction. 6) Apply Padding Pad the foot, ankle, and leg at all points where they come into contact with the splint and hitches.

The other rescuer straddles the victim’s calf, locks his hands behind the victim’s knee, and applies steady traction in an upward direction (Fig. 47). Reducing a hip is often difficult and requires a great deal of prolonged pulling to overcome the powerful leg muscles. Once reduced, the injured leg should be splinted to the uninjured leg and the victim transported to a medical facility. If reduction is unsuccessful, splint the leg in the most comfortable position for the victim, and arrange evacuation.

Realignment of a Closed Fracture (Fig. 27 a & b) In general, straightening a fractured limb is not advised, unless circulation to the extremity is impaired or gross deformity prevents splinting and transportation. Realignment is easier if it is done early, before swelling and pain make it more difficult. Fractures 1) Pull gently on the limb below the fracture site in a direction which straightens it, while someone else holds counter-traction on the limb above the fracture. Discontinue the maneuver if the patient complains of a dramatic increase in pain.

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