Reducing Deformity in the Field

Many EMS programs do not recommend prehospital reduction of deformity of an injured extremity. If the deformity is near a joint (suggesting the possibility of dislocation), this is certainly good advice. Injudicious manipulation may convert a pure dislocation to a fracture-dislocation. Even if a fracture already exists, there will be no way to prove it was not caused by the manipulation.

A circumstance in which prehospital reduction of obvious fractures along the shaft of a long bone can be justified is the absence of a distal pulse. Minutes count in such cases. If reduction is attempted, it should be performed by means of longitudinal traction.

In the absence of a common standard, the indications for reduction of deformity by prehospital personnel ultimately remain at the discretion of the supervising EMS program.

51 Tips for Dealing with Endometriosis

51 Tips for Dealing with Endometriosis

Do you have Endometriosis? Do you think you do, but aren’t sure? Are you having a hard time learning to cope? 51 Tips for Dealing with Endometriosis can help.

Get My Free Ebook

Post a comment