What is the proper order for applying a rigid splint to an injured wrist?
Step 1: Assess the Wrist
- Check for any signs of deformity, swelling, bruising, or exposed bone.
Step 2: Immobilize the Wrist
- Gently move the wrist into a position of function (with the wrist in a neutral position and the fingers slightly curled).
- Place a rolled-up piece of cloth or gauze in the palm of the hand.
Step 3: Apply the Splint
- Place the splint on the palmar side of the wrist and forearm, extending from just below the elbow to the base of the fingers.
- Ensure the splint is well-padded to prevent pressure points.
- Secure the splint with tape or cloth ties, starting at the distal end and working your way up.
- Be sure to tape the splint snugly, but not too tight, to prevent constriction of blood flow.
Step 4: Immobilize the Thumb
- If the thumb is also injured, use a separate piece of cardboard or other rigid material to create a thumb spica splint.
- Place the thumb spica splint on the palmar side of the thumb, extending from the wrist to the tip of the thumb.
- Secure the thumb spica splint with tape or cloth ties.
Step 5: Elevate the Wrist
- Elevate the injured wrist above the level of the heart to help reduce swelling.
Step 6: Seek Medical Attention
- After splinting the wrist, it is important to seek medical attention as soon as possible for further evaluation and treatment.