Posts Tagged ‘Wilderness Medicine’

New! From The Wilderness Medicine Newsletter

February 10, 2012

For decades the Wilderness Medicine Newsletter has provided up-to-date information to pre-hospital and definitive care providers. Since becoming an on-line journal, the readership of the WMN has become international. Now the WMN has it’s own web site:

Subscribers pay the same $15 a year subscription rate but have access to more than 165 articles from back issues as well as current issues. You can search the site either by category, or by key words making the Wilderness Medicine Newsletter site a much more useful reference for everything from reviewing splinting to the prevention and treatment of tropical diseases.

Check it out!


January 4, 2008

Lower Leg Fracture – Tibia/Fibula:

May be an angulated fracture with impairment of circulation distal to the site of the fracture.
If angulated the fracture can be easily reduced into proper anatomical alignment with gentle Traction-In-Line (TIL).
Splint the lower leg in proper anatomical alignment with distal pulses intact.
A splint can be easily improvised with an ensolite pad or well-padded sticks held in place with cravats.
Splint with the foot held at 90 degrees.
Monitor circulation every 15 – 30 minutes.

Ankle Injuries:

“Ottawa Rules” can be used to help determine if the injury is a fracture or not.
The Ottawa Rules are:
Need to be an adult (i.e. good historian).
1. No tenderness over the malleoli (the lateral and medial aspects of the ankle).
2. No laxicity on inversion, eversion, or drawer test of the ankle.
3. They can walk 3 steps without pain or sensation that the ankle is going to collapse.
If suspicious of a fracture then treat the same way as a tibia/fibula fracture.
If a sprain then RICE the ankle and support with a sprained ankle bandage.

Video demonstration of applying a sprained ankle bandage:

Foot Fractures:

A “March Fracture” is a stress fracture of the 5th metatarsal that is caused by a long march or hike.
Diagnosis – pain and tenderness over the center of the lateral arch of the foot.
Treatment is to support the foot well with a firm boot.

Fractured Toes:

May be angulated, is so apply TIL to straighten, move into proper anatomical position.
Splint the injured to by “buddy taping” the injured toe to the adjacent toe, with padding in between the toes for comfort and support.
Support the fractured toes by wearing a stiff-soled shoe to prevent flexion of the toes.

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