FIRST AID
LECTURE FIVE
BY
PROF. A. EMAD OMAR ZAKI
FALL 2020
FRACTURES
Description: Is a breakage of bone
tissue or discontinuation of bone
tissue due to different causes or
accidents.
Possible cause:
1. Accident / trauma
2. pathological due to bone infection
3. Tumor of the bone
Types of Fracture
• closed
• open
Sings and symptoms of fracture:
protruding of the parts
- Swelling - impositions
-Deformity - Unable to function
-Numbness or tingling sensation
- Patient
may shout due to severe pain
-Discoloration
Complications
Immediate complications
• - Hemorrhage/ bleeding
• - Severe pain
• - Hypotension ( shock) due to
bleeding
Complications
Late complications
• Disability
• Disfiguring
• Deformity
• Malunion
• Delay in union
General First aid management of
Fracture
Assess carefully but be fast
• Check respiratory condition
• Check bleeding / hemorrhage
• Consider the amount of loss
• Determine and arrange referral
• Asphyxia, bleeding, and severe wounds
must be dealt with before treating any
fracture
General First aid management of
Fracture
• Support the injured part with
supporting device, immobilize the
fracture, bandaging and use splints
• Refer the patient to hospital urgently
NB: Proper immobilization is important to
prevent further trauma, pain and
complications.
DISLOCATION
Definition:- When bone is no more in
an anatomical position or the
displacement of one or more bone at
a joint.
Cause:-
-Strong force acts directly or indirectly
on a joint
- Sudden muscular contraction
N.B:- Joints which are most frequently
dislocated are - shoulder, elbow,
thumb, finger, Jaw
DISLOCATION
Signs and symptoms
- Pain, near the joint, victim cannot
move it, deformity, abnormal
appearance, swelling and brusis are
usually present
First aid and manage
- support and secure the part in most
comfortable position
- obtain medical aid at once
- Do not attempt to replace the bones to
normal position
Note: - The causes,
- The signs and symptoms
- First aid management, quite similar to
fracture.
NB. Do not delay to refer patient with
fracture or dislocation since proper
investigation and management is done at
hospital
STRAIN
Definition: over stretching of muscles
due to over pulling of muscles.
Causes:
• • Lack of pre- exercise before doing
sport activity
• • Lifting of heavy loads
• • Lifting of heavy weight
• • The most common one is back strain.
Signs and symptoms
Pain (sudden sharp pain at the
site of the injury)
Stiffness of muscles
Difficulty in moving the affected
parts
Management and First Aid
Place the victim in the most comfortable
position
Cold compress during fracture phase
Warm compress (physiotherapy)
If not improved refer the victim
In case of back strain use a hard board
under the bed or lay the victim down on a
firm surface
SPRAIN
Definition: An injury which occurs at
a joints when the ligaments and
tissue around particular joints are
suddenly twisting or torn.
Sprain is more severe than strain
It usually happens or occurs at joint
especially at ankle joint.
It might involve bone (broken)
Sprain is also tearing of ligaments
Signs and symptoms
Pain especially on movement
Swelling
Loss of movement
Treatment:
-Raise the limb
-Put on a cold compress
-Renew the compresses when they get warm
and dry
-Support the joint in most comfortable
position with bandage
-Bandage firmly with figure of eight
bandage
- Refer for further treatment
THANK YOU