The four year old boy Xiaoxiao (not his real name) could not find his mother when he woke up in the afternoon nap, and the door of his bedroom was locked, so he climbed up to the window sill of the second floor room and looked out desperately. He saw his mother downstairs, chatting with the neighbors. He just wanted to call his mother, but suddenly his feet were empty, and the whole person fell down from the window pane like a pillow. When the mother heard the "bang", she turned her head to see that her baby son had fallen to the ground. She was surprised and heartbroken. In desperation, she picked up the crying child and rushed to the nearby hospital. Without turning her head, what preliminary treatment should be done first. The doctor diagnosed that the fracture of the lower segment of the small tibia was aggravated because it was not fixed at the time of the incident and the wrong handling method was adopted. My mother repented after listening.

Tibia fracture is the most common type of leg fracture. If the splint can be fixed correctly and timely, it will help to alleviate the pain.

If there are two splints on site, one of them can be placed on the outside of the lower leg, with the upper end reaching the hip joint and the lower end exceeding the ankle joint; The inner splint should be padded at the upper end, with the length from the thigh root to the ankle. Four triangular scarves are available, which can also be replaced by ties, scarves, red scarves, etc. In case of naked skin, a mask or square towel should be padded at the part with bone process on both legs to reduce skin friction. When tying, the knot should be between the splint and the limbs.

When there is only one splint, it can be placed behind the lower leg, and the bottom triangular towel is fixed with an "8" on the foot.

If there is no splint, the healthy limb fixation method should be adopted, and pads should be added between the knees, ankles and the medial metatarsals of the foot. Fold four triangular scarves into a belt, two of which overlap the self healthy side and pass under the popliteal fossa, and the other two overlap the self healthy side and pass behind the ankle. First fix the upper end of the fracture, then fix the lower end of the fracture, then tie the top one, and finally tie a triangular towel on the ankle with the "8" method, and then tie the feet together and vertically.

When fixing the leg fracture, the shoes and socks of the injured limb should be removed, and the toes should be fully exposed so as to observe the peripheral blood circulation at any time.

Not long ago, when I gave a lecture on rescue knowledge to parents aged 0 to 6 in Chaoming Street, Hangzhou, I included this case. Because the accidents of young children who were injured due to accidental falls are frequently reported in the newspapers, many parents regret it. Those young mothers who came to the class, while sighing for their little misfortune, also exchanged nursing experience with each other, and said that they really should not let their children be alone or out of their custody. It is the principle to prevent problems before they happen, but in case of an accident, they should also know how to take emergency measures based on the scene.

It is hoped that a small lesson can make parents wake up, stop blindly carrying injured limbs because of ignorance, and know how to carry out simple and effective on-site treatment at the first time, so as to alleviate the pain of the injured and bring convenience to the further treatment of doctors.

Senior emergency rescue trainer Wang Daifei