AEMCA Practice Exam

What action should be taken if a fractured extremity is found to be pulseless or angulated?

1. Gently pull traction unless severe pain or resistance is encountered

2. Immediately apply a splint to the injury

3. Wait for emergency responders to arrive

4. Apply ice to reduce swelling

The correct answer is: Gently pull traction unless severe pain or resistance is encountered

When a fractured extremity is identified as pulseless or angulated, the action of gently pulling traction is critical. This approach is intended to realign the fractured bone fragments and promote proper circulation. The presence of a pulseless condition indicates potential compromise of blood flow, which can lead to further complications if not addressed promptly. By applying gentle traction, you can help alleviate any pressure on the vascular structures surrounding the fracture, thereby potentially restoring blood flow. It is important to note that if severe pain or resistance is encountered during this maneuver, it should be stopped immediately to avoid causing further injury. This technique emphasizes the importance of assessing and responding to the patient’s condition while awaiting further medical intervention. In contrast, while applying a splint can be an important part of managing fractures, doing so without first addressing the angulated position and lack of pulse might not resolve the underlying issues of circulation and alignment. Waiting for emergency responders does not provide immediate intervention to the situation, which is crucial. Lastly, applying ice might help with swelling but does not address the critical issue of circulation and bone alignment. Therefore, applying traction is the most appropriate initial action in this scenario.