You are treating a 2 year old male who slapped while running down the stairs in a factory and has injured his right tibia and fibula. The bones are through the skin, and his lower leg is severely deformed. There is no distal pulse or motor function. he denies any other injuries. What should you do?
A. Apply a tight traction to realign the extremity, point the leg and then reassess for a distal pulse.
B. Call for ALS before any movement.
C. Splint the extremity in the position in which it was found, and transport right away.
D. Apply ice to the bone ends and move the patient on a long spine board.
Answer: A. Apply a tight traction to realign the extremity, point the leg and then reassess for a distal pulse.
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