What is the basic principle when splinting fractures?

• A. Splint it as it lies
• B. Do not move the limb
• C. Align joints to normal position
• D. Apply a rigid cast immediately

Answer: (A)

The main idea is to immobilize the injured limb in the position found to prevent movement and further harm. Splinting it as it lies stabilizes the fracture without disturbing alignment, reducing the risk of damaging nerves, blood vessels, or soft tissues that can be worsened by manipulation. You’re avoiding attempts to straighten or realign the fracture in the field, which can cause more injury. A rigid cast isn’t applied immediately in an emergency; a splint provides initial stabilization and accommodates swelling, with definitive immobilization coming later under professional care. Remember to check distal sensation, movement, and pulses before and after splinting to ensure circulation isn’t compromised.