Ensure no threat of skin ischemia or necrosis over fracture site
Ensure distally perfused
If any of the above discuss with senior, else treat as below
Not requiring manipulation
Remove rings
Pain relief
Immobilize in POP in Edinburgh position
Repeat XR
High arm sling
Safety net patient (swelling, pain, loss of sensation to fingers or tip ischaemia)
Take details and add to trauma list for handover
References
The British Society of Surgery for the Hand. Hand Injury Triage App [Internet]. [cited 2020 Feb 2]. Available from: handinjurytriageapp.bssh.ac.uk Header Image: Licensed with Adobe Stock 2019
This subpage has been reviewed by:
1) Mr. Martin Shapev - Plastic Surgery Registrar, RD&E (06/02/2020)