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First Aid - part 4
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Compound fractures.—If possible, carefully wash the wound with soap and water; at least two quarts of clean water, to which two level teaspoons of ordinary salt per quart have been added, should be poured onto any exposed bone and into the wound. Dirt from the outside must never be washed into the wound. The skin around the wound, but not the wound and bone, should be painted with a skin antiseptic (e.g., 2 per cent tincture of iodine or the commercially prepared mercurial antiseptics in alcoholic tinctures. These freeze at about —37° F). If there is going to be a delay of more than twelve hours in getting to medical care, the use of broad spectrum antibiotic is advisable. Ask your physician what you should take. The wound should finally be covered with sterile gauze, bandaged, and traction applied.
Injuries to joints.—It is often not possible to distinguish a sprained from a fractured joint without X-ray examination. It is only permissible to tape a joint and to allow further skiing when the injury appears so slight that the additional support of tape would allow the skier to travel without undue discomfort. If there is any question about the severity of the injury, the skier should be transported on a toboggan or ski sled. With all joint injuries, a doctor should be consulted as soon as possible to avert any permanent disability which might otherwise result.
The accompanying drawing (fig. 14) illustrates the
taping of the ankle. Recommended tape width is 11/2 inches. Note that in taping an ankle the tape is extended on the foot to the base of the toes, both on the sole and top, to prevent swelling of the foot and cutting of the sole by the tape.
Dislocations should be considered fractures until proved otherwise; splint the same as simple fractures.
If a shoulder is dislocated by a victim who knows the injury is recurrent, the dislocation may be reduced as follows: place the injured man in a horizontal position on a ledge so that his arm can hang down and free below him. Tie a weight of about ten pounds to the arm. In 30—45 minutes the shoulder muscles should tire enough to permit the dislocation to reduce itself. If not, treat as a simple fracture and seek medical aid as soon as possible. A Velpeau bandage is recommended to immobilize a dislocation of the shoulder.
Related terms include vt skiing and freestyle skiing.
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