« fractures »

39 passage(s) dans 12 référentiel(s).

• IFRC — International First Aid, Resuscitation and Education Guidelines 2020IFRC — Global First Aid Reference Centre
  • p. 223First aid – Trauma | 223 Fractures, sprains and strains Key action Keep the injury still to reduce pain. Introduction Sprains and strains are considered minor injuries, while fractures can range from minor to major. While often not life-threatening ... injuries to the extremities (arms, legs, fingers or toes) can lead to disabilities if left untreated. A fractured bone is often painful and can cause internal or external Bleeding (in the case of open fractures when the broken
  • p. 225organisations, follow local procedures, and have the confidence and skills to care for a person with an angulated fracture. • In contexts where learners may have to transport the injured person to a medical facility, practise improvising splints with ... sports or industrial activities may have more exposure to injured limbs and should know how to recognise fractures, sprains and strains and how to provide first aid care until a medical professional can take over. • Older people
  • p. 224guidelines 2020 First aid providers are not expected to be able to diagnose whether a person has a fracture or a sprain or strain. The only accurate way to diagnose a fracture is with an X-ray. When ... doubt, assume it is a fracture. First aid steps 1. Help the person to keep the injury still. 2. Support the injury in a comfortable position to prevent any movement. Keeping the limb elevated may help to prevent
  • p. 226results cannot be considered precise due to low sample size and wide confidence intervals. Realignment of an angulated fracture versus splinting in the position found In 2015, the International Liaison Committee on Resuscitation (ILCOR) Consensus on Science looked ... whether the realignment of an angulated bone fracture before splinting, compared to splinting the injury in the position found, would minimise injury of nerves and vessels, pain, time to medical transportation, as well as the need for splinting

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• OMS / CICR — Basic Emergency Care (cahier du participant)OMS · CICR · IFEM
  • p. 192SKILLS 184184184 FRACTURE IMMOBILIZATION: OPEN Consider an open fracture if there is a wound near a fracture site. Open fracture sites can often be contaminated and will require cleaning and potentially surgical debridement before the fracture ... fixed. If an open fracture is suspected, plan for handover/transfer to a surgical or orthopaedic unit after splinting. • Give pain relief prior to splinting. • Control haemorrhage with direct pressure. In limb amputation, if bleeding is uncontrolled apply tourniquet
  • p. 228MANAGEMENT OF SPECIFIC CONDITIONS Facial fracture Immobilize cervical spine if indicated, give IV antibiotics for open fractures, avoid nasal airway/ nasogastric tubes. Penetrating eye injury Avoid pressure on the eye, stabilize but do not remove foreign objects, give ... fluids, nothing by mouth. Cover visible bowel with sterile gauze soaked in sterile saline, give antibiotics. Pelvic fracture Give IV fluids, stabilize with sheet or pelvic binder. Fracture with poor limb perfusion Reduce fracture, splint. Open fracture Irrigate
  • p. 68trauma 606060 Management of specific injuries found during secondary survey CONDITION SIGNS AND SYMPTOMS IN-DEPTH MANAGEMENT Pelvic fracture • Pain with palpation of the pelvis • Instability or abnormal movement of the pelvic bones • Blood at opening ... sheet or pelvic binder. [See SKILLS] • Plan for early handover/transfer to a unit with blood transfusion capabilities. Extremity fracture with poor perfusion • Deformity or crepitus of the bone • Absent pulses beyond the fracture • Capillary refill time of greater
  • p. 65SIGNS AND SYMPTOMS IN-DEPTH MANAGEMENT Head injury • Headache • Altered mental status • Abnormal pupils • Scalp lacerations and/or skull fractures • Bruising to head (particularly around eyes or behind ears) • Blood or clear fluid coming from nose or ears • Weakness ... SKILLS] • Always monitor immobilized patients for vomiting to avoid choking. • If there is concern for an open skull fracture, give IV antibiotics. • Check blood glucose and give glucose if less than 3.5 mmol/L or unable to measure

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• JTS — U.S. Army Aeromedical Evacuation Standard Medical Operating GuidelinesJTS
  • p. 236Consider MOTOR Testing SENSATION Testing NERVE Elbow Injury Index and Little Finger Abduction Little Finger Ulnar Wrist Fracture or Dislocation Thenar Contraction with Opposition Index Finger Median Distal Supracondylar Fracture of Humerus Index Tip Extension None Median, Anterior ... Shaft, Anterior Shoulder Dislocation Thumb, Finger group Extension First Dorsal Web Space Radial Anterior Shoulder Dislocation, Proximal Humerus Fracture Deltoid Lateral Shoulder Axillary LOWER EXTREMITIES Pubic Rami Fractures Knee Extension Anterior Knee Femoral Obturator Ring Fractures Hip Adduction
  • p. 27swelling • Deformity • Altered sensation / function • Diminished pulse / capillary refill • Decreased temperature • Bleeding • Amputation Signs / Symptoms • Abrasion • Contusion • Polytrauma • Fracture • Dislocation • Laceration • Sprain / strain Treatment • Heavy active bleeding o Check / add tourniquet (TQ)  Add deliberate TQ if hasty ... hypotension / shock • Follow DCR protocols regarding hierarchy of fluid administration • Carefully evaluate and document neurovascular status in all fractures / dislocations • Never attempt to reduce an open fracture unless you have a confirmed loss of pulse • A pelvic binder
  • p. 31rhythm; pulse return? • ROSC not achieved o Continue CPR o Continue blood / IV fluids o Reduce long bone fractures o Reduce pelvic fracture o Reassess known hemorrhage points • ROSC achieved o Return to TACTICAL EVACUATION PROTOCOL or previous
  • p. 38TABLE OF CONTENTS 38 DENTAL PROBLEMS Signs / Symptoms • Bleeding • Fever • Pain • Swelling • Missing / fractured tooth Differential Diagnosis o Dental Caries o Infection o Fracture o Avulsion o Abscess / cellulitis o Gingivitis • TACTICAL EVACUATION PROTOCOL • UNIVERSAL PATIENT CARE PROTOCOL
• Références techniques nationales PSE Juillet 2026
  • p. 223entorse peut s’accompagner d’un arrachement osseux) ; • la luxation2 (la luxation peut s’accompagner d’une fracture ou d’une atteinte des nerfs et des vaisseaux) ; • la fracture (rupture totale ou partielle de l’os) dite simple3 ... telles que : • une atteinte des vaisseaux5 ; • une lésion des nerfs6 ; • une plaie, il s’agit alors d’une fracture ouverte qui peut être hémorragique. Les fractures de la cuisse ou de multiples fractures de membres peuvent entraîner
  • p. 263ensemble des signes dus à une atteinte traumatique du bassin, avec ou sans plaie. Il est responsable de fractures ainsi que de lésions des organes internes, notamment hémorragiques, pouvant mettre rapidement en jeu la vie de la victime ... ordre de 8 à 15 %. La gravité est due : • à la perte de sang2 due aux fractures elles-mêmes ; • à une perforation ou une rupture de vessie ou des canaux d’évacuation de l’urine. Signes L’expression
  • p. 239Traumatisme du dos et du cou Définition Il s’agit de lésions à type d’entorse, de fracture, de luxation ou de tassement qui peuvent siéger à n’importe quel niveau de la colonne vertébrale. Causes & Mécanisme ... possible atteinte de la moelle épinière qui peut être : • comprimée par la (les) vertèbre(s) fracturée(s) ou luxée(s), par un œdème ou un hématome ; • sectionnée en entraînant des lésions irréversibles. Environ 15 % des personnes qui présentent
  • p. 260direct au niveau de la tête peut entraîner, selon son intensité et son mécanisme, des lésions cutanées, osseuses (fractures) ou cérébrales. Une décélération brusque avec un arrêt net de la tête, sans aucun choc sur un obstacle, peut ... cuir chevelu, un hématome ou une déformation ; • un hématome « en lunettes » (autour des yeux) pouvant témoigner d’une fracture des os de la base du crâne ; • une otorragie ou une épistaxis ; • En cas d’otorragie, la compression manuelle
• JTS — High Bilateral Amputations and Dismounted Complex Blast InjuryJTS
  • p. 9usually be avoided. Colostomy is indicated in DCBI patients with diagnosed rectal injury or massive pelvic disruption/open pelvic fracture with extremely high suspicion for anorectal injuries. There is rarely a need to do a colostomy on the initial ... care entails: 1. Ensuring extremity hemorrhage control 2. Pelvic external fixation if there is hemorrhage from a pelvic fracture, especially with sacroiliac disruption 3. Stabilization of extremity fractures in salvageable limbs / limb remnants 4. Debridement of devitalized tissue
• JTS — Nursing Interventions, Wound Care and Splint Management in PCCJTS
  • p. 17missed underlying wounds. Additionally, all extremities and palpable bony structures must be thoroughly assessed for any unrecognized fractures that may have been missed during the initial TCCC treatments. Non-medical Responders If a splint was placed in TCCC ... ensure that it is still in place and not causing additional pain beyond the fracture it is stabilizing. Refer any issues with the splint to the medical responder immediately. Medical Responders Any suspected fractures or significant extremity injuries
  • p. 19should receive a feeding tube (nasogastric or orogastric) to initiate enteral nutrition. If there is concern for facial fractures/skull base fracture, place orogastric tube and avoid nasogastric tube placements. Although a controversial topic, feeding at the Role
• JTS — War Wounds: Debridement and IrrigationJTS
  • p. 7while minimizing the associated side effects of high systemic loads of these antibiotics. Indications include contamination with open fractures and traumatic amputations, treatment of established osteomyelitis, and dead space management with associated soft tissue defect. Animal models demonstrate ... groundswell of interest in use of topical antibiotic powders (TAP) for prophylaxis in wounds with contaminated fractures. Recent large animal studies comparing TAP and antibiotic PMMA beads in wounds treated with NPWT show that TAP achieves higher sustained
• JTS — Prolonged Casualty Care GuidelinesJoint Trauma System (DoD)
  • p. 27Management Plan for Heat Injury/TBI then: Role 1a  Identification and local wound management of any open head wounds/skull fractures. Priorities should include hemorrhage control, removal of gross contamination, and protection/coverage of any exposed dura or brain matter.  Military ... pertinent information on PCC Flowsheet (attached). Role 1a  Identification and local wound management of open head wounds/skull fractures. Priorities should include hemorrhage control, removal of gross contamination, and protection/coverage of any exposed dura or brain matter.  MACE2 examination
  • p. 46Prolonged Casualty Care Guidelines CPG ID: 91 Guideline Only/Not a Substitute for Clinical Judgment 46 SPLINTING AND FRACTURE MANAGEMENT - PCC Table 18. Splinting and Fracture Treatment Intervention Paradigm Litter Padding  Minimum - Excess uniforms or other textiles  Better - Blankets ... thrust maneuver to open the airway IAW with TCCC guidelines Link to JTS Orthopaedic Trauma: Extremity Fractures
  • p. 28assess and re-apply MARCH interventions.  Administer appropriate antibiotics for any open head wounds or skull fracture (see antibiotics section).  Maintain goal SBP >90 mmHg with initial fluid/blood product resuscitation.  Serial neurologic checks and identify signs of elevated ... pertinent information on PCC Flowsheet (attached). Role 1a  Identification and local wound management of any open head wounds/skull fractures. Priorities should include hemorrhage control, removal of gross contamination, and protection/coverage of any exposed dura or brain matter.  MACE2
  • p. 60hemorrhage  20-70% Burns  Unstable Vital Signs  Severe TBI (unconscious alive Pt) Category II: Delayed (green chemlite)  Open fractures w/PMS intact  Soft tissue injuries  Moderate TBI (stable vital signs)  Open abdominal wounds *Category III: Minimal (no chemlite) remain ... armed continue to engage  Minor abrasions, burns, sprains lacerations  Moderate/Mild anxiety  Fractures/dislocations w/PMS  Mild TBI **Category IV: Expectant or Hero (blue chemlite)  Massive head or spinal injury  Third degree burns > 70% BSA  Injuries incompatible with life * In combat
• JTS — Joint En Route Care GuidelinesJTS
  • p. 41Contents Appendix B: Post Operative Considerations HEAD/FACE Surgical procedures in this anatomic region include craniotomy, lateral canthotomy, mandibular/maxillary fracture stabilization, and hemorrhage control measures. • If drain is in place, consult with neurosurgeon for CSF drainage and pressure goals ... dislodged during transport, do not attempt to reinsert. Place sterile dressing over surgical site. • Alert patients with facial fractures who are protecting their own airway should be transported in a position of comfort. DEVICES • External Ventricular Drain: Leveled
  • p. 39Management Plan for Splints then: • Re-assess and Re-apply Splint interventions IAW TCCC Guidelines. • Early stabilization of fractures/orthopedic injuries is essential to reduce ongoing hemorrhage, prevent pulmonary complications (especially with long bone fractures), reduce further soft tissue
  • p. 22respirations). Assess Glasgow Coma Scale (GCS) (Table 1). • Identification and local wound management of any open head wounds/skull fractures. Priorities should include: o Hemorrhage control o Removal of gross contamination, irrigation if possible o Protection/coverage of any exposed ... dura or brain matter o Administer antibiotics if signs of open skull fracture. • Eye Injuries: Perform visual acuity and treat IAW TCCC Guidelines • Complete MACE2 examination IAW TCCC Guidelines, if able • Identify signs of elevated or rising intracranial
• Références techniques nationales PSC Juillet 2026
  • p. 4702PR08 / 07-2026] PSC Traumatismes Définition - Signes Les atteintes traumatiques sont des lésions des os (fractures), des articulations (entorses ou luxations), des organes ou de la peau. Pour une meilleure compréhension, ce dernier type d’atteinte fait ... origine est traumatique. Sinon : • conseiller fermement de ne pas mobiliser la partie atteinte1 ; • si la victime présente une fracture de membre déplacée, ne pas tenter de le réaligner ; • protéger la victime de la chaleur, du froid
• Agressions collectives par armes de guerre — conduites à tenirMinistères de l'Intérieur, des Armées et de la Santé
  • p. 140matériel adapté. De la même manière, le premier temps est à l’immobilisation rapide du foyer de fracture, avant une chirurgie réparatrice dans un second temps. Des fixateurs externes pédiatriques existent, sans limite inférieure de poids. Malheureusement, leur ... atteintes chez l’enfant sont majoritairement des plaies pénétrantes des membres par projectiles, en association à des fractures, plus rarement cervi- cales (dans 10 % des cas). Mais là encore, les données disponibles sur la prise en charge concernent
• NHTSA — National EMS Education Standards 2021NHTSA
  • p. 51treatment modifications for the major or common diseases and/or emergencies associated with pediatric and geriatric patients) • Open fractures (S,S) • Closed fractures (S,S) • Dislocations (S,S) • Amputations (S,S) • Open fractures (F,F) • Closed fractures ... Dislocations (F,F) • Amputations/replantation (F,F) • Upper and lower extremity orthopedic trauma (F,F) • Sprains/strains (F,F) • Pelvic fractures (F,F) • Open fractures (F,F) • Closed fractures (F,F) • Dislocations (F,F) • Amputations/replantation (C,F) • Upper and lower
  • p. 50trauma (F,F) • Penetrating neck trauma (F,F) • Laryngotracheal injuries (F,F) • Shaken Baby Syndrome (F,F) • Facial fractures (S,S) • Skull fractures (S,S) • Foreign bodies in the eyes (S,S) • Globe rupture (S,S) • Dental trauma ... trauma (F,F) • Penetrating neck trauma (F,F) • Laryngotracheal injuries (C,F) • Shaken Baby Syndrome (F,F) • Facial fractures (C,F) • Skull fractures (S,S) • Foreign bodies in the eyes (S,S) • Globe rupture (S,S) • Dental trauma