Video Transcript

A fracture is a break or bend in the bone and there is always associated soft tissue damage at the site. A fracture can occur as a result of trauma such as falls sporting accidents or motor vehicle accidents.

When looking for a fracture you need to see if there is any obvious deformities pain or tenderness. Are they able to move the limb and are they pale and clammy. The fracture needs to be immobilized in the position found and we can do this using bandages and splints.
I will demonstrate how to immobilize a fracture in an arm the bandage needs to be tied on the uninjured side.

First Response Treatment for Fractures in the Workplace: A First Aid Trainer’s Guide

Fractures, or broken bones, are common workplace injuries that can occur due to falls, machinery accidents, or heavy object impacts. Proper first aid is critical to prevent complications like nerve damage, infection, or long-term disability. As a first aid trainer, I emphasize swift, calm, and informed action to stabilize the injury until professional medical help arrives. Here’s a step-by-step guide to managing fractures effectively.

1. Types of Fractures

• Closed Fracture: The bone breaks, but the skin remains intact.
• Open Fracture: The bone pierces the skin, posing a high risk of infection.

2. Recognize Signs and Symptoms

• Visible deformity (unnatural angle, swelling, or bruising).
• Intense pain that worsens with movement.
• Inability to move or bear weight on the affected limb.
• Bone protruding from the skin (open fracture) or bleeding.
• Crepitus (grinding sensation or sound at the injury site).

3. Immediate First Aid Steps

A. Ensure Scene Safety

• Address hazards (e.g., turn off machinery, clear debris) before approaching the injured person.
• Do not move the person unless they’re in immediate danger (e.g., fire, chemical spill).

B. Control Bleeding (Open Fractures)

• Wear gloves to protect against bodily fluids.
• Cover the wound with a sterile dressing or clean cloth. Apply gentle pressure around (not directly on) the protruding bone.
• Do not attempt to push the bone back into place.

C. Immobilize the Injury

• Stabilize the limb in the position found using splints (e.g., padded boards, rolled magazines) or soft materials (e.g., towels, clothing).
• Splint the joints above and below the fracture to prevent movement. For example, a forearm fracture requires immobilizing the wrist and elbow.
• Secure the splint with bandages or cloth strips—tight enough to hold, but loose enough to avoid cutting off circulation.

D. Apply a Cold Pack

• Wrap ice packs in a cloth and apply to the injury for 10–15 minutes to reduce swelling and pain. Avoid direct skin contact.

E. Monitor and Reassure

• Keep the person calm and still. Check for signs of shock (pale skin, rapid pulse) and elevate legs slightly if shock is suspected (unless the injury is to the hips/legs).
• Loosen tight clothing and provide reassurance.

4. When to Seek Emergency Care

Call 911 or onsite medical teams immediately if:

• The fracture is open, severe, or involves the head, neck, or spine.
• The person is unresponsive, has difficulty breathing, or shows signs of shock.
• There’s numbness, tingling, or bluish discoloration in the limb (indicating compromised blood flow).

5. What NOT to Do

• Do not try to realign the bone—this can damage nerves, blood vessels, or soft tissues.
• Avoid giving food or drink in case surgery is needed.
• Do not move the person unnecessarily unless safety demands it.

6. Prevention Strategies

• Enforce safety protocols: Use guardrails, machine guards, and non-slip flooring.
• Provide PPE: Steel-toe boots, helmets, and protective gear in high-risk areas.
• Train employees: Regular drills on safe lifting, fall prevention, and equipment handling.
• Maintain workspaces: Keep floors clutter-free and ensure proper lighting.

Why Timely Action Matters

Improper handling of fractures can turn a manageable injury into a life-threatening emergency. For example, moving a spinal fracture incorrectly may cause paralysis, while neglecting an open fracture risks severe infection.

Final Thoughts

Workplace fractures require a balance of urgency and caution. Equip your team with accessible first aid kits (including splints, bandages, and cold packs) and ensure they’re trained to act decisively. Remember: Stabilize, don’t manipulate.

By fostering a culture of safety and preparedness, employers can reduce fracture risks and empower employees to respond confidently in emergencies.

Note: This guide aligns with OSHA standards and current first aid best practices. Regular training refreshers are recommended to maintain competence.