Which statement about splinting is true?

• A. You should attempt realignment as soon as a fracture is suspected
• B. The splint should extend beyond the joints above and below by several inches
• C. You should do nothing until EMS arrives
• D. Immobilize the joint above and below the injury

Answer: (D)

Immobilization works best when you stabilize the limb across the injured segment by securing the joints nearest to both ends of the injury. Immobilizing the joint above and the joint below the injury prevents movement at the fracture site, protecting soft tissues, nerves, and blood vessels, and helping to control pain and swelling. In the field, the priority is to limit movement rather than try to realign bone or delay care; realignment should not be attempted unless you’re trained for it. Do something now rather than waiting for EMS to arrive. Extending the splint beyond the joints is important for stability, but the essential point is keeping the joints above and below the injury immobilized.