Clinical Pharmacy first aid and emergency

sprain, strain, dislocation and fracture

Topic overview

Start with the big picture

A sprain affects a ligament, a strain involves muscle or tendon, a dislocation disrupts normal joint alignment, and a fracture is a break in bone continuity. Assessment begins with airway, breathing, and circulation, followed by inspection and palpation of the injury and checks of distal pulses and sensation. These neurovascular checks are important before and after splinting. Immobilize the joint above and below the injury; do not attempt reduction unless trained. Early care may include rest, ice, compression, and elevation. Recognizing open wounds, deformity, neurovascular changes, and possible compartment syndrome helps identify situations requiring urgent care. Medication choices and follow-up also depend on risks such as bleeding, kidney or gastrointestinal problems, and impaired bone healing.

Learning objectives

What you'll learn

  • Distinguish sprains, strains, dislocations, and fractures by the structures involved.
  • Describe initial assessment priorities and neurovascular checks around splinting.
  • Summarize immobilization and early supportive care principles.
  • Identify complications and findings that warrant urgent transfer.
  • Explain key considerations for analgesia and post-immobilization counseling.
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