I agree with all of the recommendations. However, there is one instance where an attempt at reduction is reasonable even by a layperson:
If the extremity is pulseless AND definitive treatment is more than a few hours away, a single attempt at reduction via gentle traction to restore anatomical alignment is not unreasonable. The goal is to restore blood flow and nothing else at that point. This goes for open or closed fractures where circulation is compromised. Once aligned, the extremity should be splinted. If pulses are not restored with this single attempt, do not try again - just splint it and get them to a hospital
I am repeating for emphasis that this should only be done when access to care is going to be significantly delayed.
Last edited by Sensei; 09-27-13 at 06:56.
I like my rifles like my women - short, light, fast, brown, and suppressed.
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