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June 4, 1960


JAMA. 1960;173(5):536-538. doi:10.1001/jama.1960.73020230035008f

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The early management of fractures embraces both the temporary emergency management and the early definitive management of both open and closed fractures. The temporary emergency management is nothing more than the emergency splinting for transportation to and within the hospital. This is a facet of management of fractures lacking in color, appeal, and, all too often, professional interest. However, it remains an exceedingly important, albeit a frequently neglected, part of early management. Fractures of long bones, particularly those of the lower extremities, must be splinted at the first opportunity if the best interests of the patient are to be served.

Emergency Splinting  The significance of effective emergency splinting must not be underevaluated. It prevents further damage to soft parts by sharp fragments. In so doing, it may prevent the catastrophe of laceration of a major blood vessel or a peripheral nerve or compounding of a closed fracture. It minimizes pain,

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