Lower arm

in a deformed position with obvious angulation apply inline traction to realign the deformity towards the correct anatomical position. If the limb does not realign with attempted inline traction, then splint in the deformed position.

Place the arm in a padded splint which covers both the anterior and posterior of the lower arm and hand. The splint should extend beyond the fingertips and elbow.

to the elbow, ensuring that circulation is not impaired. This acts to hold counter traction when the patroller releases traction. Place the centre of the bandage on the outside of the splint. Pass the ends around and tie on the outside of the splint with a reef knot.

a) Start with the centre of the bandage at the bottom of the splint at the wrist and bring the ends around to the top of the splint still at the wrist. b) Cross the ends and bring them back down to the bottom. c) Cross again and bring back the bandage in front of the thumb and tie. d) Note that the fingers and thumb should be exposed to check for circulation.

and cross it under the distal end of the splint and tie on the uninjured side. Add padding under the knot as necessary.