4. Definition
A strain is an injury to a muscle or tendon in
which the muscle fibers tear as a result
of overstretching
A sprain is an injury in a joint, caused by
the ligament being stretched beyond its own
capacity
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6. Signs and symptoms
strain
⢠localized stiffness,
⢠discoloration
⢠bruisingaround the strained
muscle
sprain
⢠Pain
⢠Swelling
⢠Bruising
⢠Decreased ability to move
the limb
⢠If the ligament is ruptured,
one may hear a popping
sound
⢠Difficulty using the
affected extremity
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7. Treatment
⢠Rest: The sprain should be rested
â No additional force should be applied on site of the sprain.
⢠Ice: Ice should be applied immediately to the sprain to reduce
swelling and pain
â It can be applied for 10â15 minutes at a time (longer application of ice
may cause damage instead of healing)
â 3-4 times a day.
â Ice can be combined with a wrapping to minimize swelling and
provide support.
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9. ContâŚ
⢠Compression: Dressings, bandages, or ace-wraps should be
used to immobilize the sprain and provide support
â When wrapping the injury, more pressure should be applied at the far
end of the injury and decrease in the direction of the heart
â Compression should not cut off the circulation of the limb.[8]
⢠Elevation: Keeping the sprained joint elevated (in relation to
the rest of the body) will also help minimize swelling
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12. Fracture is a partial or complete breakage or
crack in a bone.
Both direct & indirect force can cause fracture.
fracture can be with / without displacement of
bone fragments.
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13. Types:
Stable fracture- broken bone ends do not move,
either because they are incompletely broken
or jammed together.
Unstable fracture- broken bone ends can easily
move out of position that increases the risk of
damage to blood vessels, nerves & organs.
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17. Greenstick fracture: is an incomplete
break in a bone, tend to occur in
children, whose bones are more
flexible
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18. ⢠A hairline fracture is the result of insufficient
trauma (e.g. force or impact) to cause much
movement between the fragments of bone.
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22. Assessment:
⢠Quickly assess five Pâs in musculoskeletal
injuries :
ďPain- location, severity & quality of pain.
ďParesthesia- abnormal sensation or loss of
sensation indicates neuromuscular involvement.
ďparalysis- nerve damage.
ďpallor â neurovascular compromise.
ďPulse- decreased or absent pulse indicates
reduced blood supply to the area.
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23. Symptoms
⢠Severe pain
⢠Difficulty in movement
⢠Swelling/ bruising / bleeding
⢠Deformity / abnormal twist of limb
⢠Tenderness on applying pressure
⢠Crepitus me be heard
⢠Signs of shock
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25. For open fractures:
⢠Control bleeding
⢠Dress the wound
⢠Immobilize.
For closed fractures:
⢠Calm the person
⢠Bandage the injured part to an unaffected part of
the body
⢠Immobilize
⢠Shift to hospital
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26. DO NOT
⢠Massage the affected area
⢠Straighten the broken bone
⢠Move without support to broken bone
⢠Move joints above / below the fracture
⢠Give oral liquids / food
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27. Prevention
⢠Wear protective pads / helmets when driving
⢠Teach children / practice, safe habits
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28. First aid
Based on location of fracture:
Facial fracture:
⢠If unconscious but breathing normally, place the
patient on their side in a supported position &
Call for an ambulance.
⢠If conscious, allow the patient to rest in the
position of greatest comfort, generally half-sitting
or lying down with the head tilted to the injured
side. Provide a clean pad or some tissues for the
patient to mop up any blood, saliva or mucus.
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29. ⢠If the jaw appears broken or dislocated, allow
the patient to support the injured part with
soft pad.
⢠Gently apply a cold compress to reduce pain &
swelling.
Note: ask the casualty to split out any blood,
broken teeth or dentures from his mouth.
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30. Fracture of the collarbone:
Carefully immobilize the arm with padding
under the armpit and apply either an
elevation sling or an arm sling depending on
the patientâs preferred position of greatest
comfort.
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31. ⢠Gently place soft padding between arm &
body to make more comfortable.
⢠Send the casualty to hospital in sitting
position.
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33. Upper arm, elbow & lower arm injury:
position of greatest comfort- generally sitting in
a chair or half sitting with support.
Allow the patient to support the arm on the
injured side on a pillow or folded clothing.
Place a triangular bandage between the chest &
the injured arm.
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41. Treatment
⢠Do not move
⢠Put a rolled cloth along the side of the trunk
to support the person
⢠Wait for ambulance
⢠Place pads between leg and tie a bandage in 8
shape
⢠Always remember to take the patient in
supine position
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42. Neck fracture
⢠Use a cervical collar or make 1 with paper and
triangular bandage
⢠Maintain airway
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43. Facture of the lower limb
⢠Pain with movement
⢠Swelling
⢠Tenderness
⢠Not able to bend the leg
⢠Signs of shock
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44. First aid
⢠Use pads, sticks, bandages to immobilize
⢠Elevate
⢠Restrict movement
⢠Supine position
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45. Dislocation
⢠Dislocation occurs in a joint when it is pushed
beyond its normal range of motion.
⢠A dislocation is where a bone has been
displaced from its normal position at a joint.
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46. Signs and symptoms
⢠Strong pain in the articulation at the time of
the accident.
⢠A limb is deformed in case of sprains.
⢠Swelling which manifest itself quickly.
⢠Pain increase while moving the articulation
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