- If there is a skin injury and roadside dirt, try to clean with clean water without moving the limb or body part. Cover with a sterile gauze.
- If a limb, place two or more splints or straight tree branches 1″ thick, on either side, and bandage the limb to prevent movement at the fracture site while taking to the doctor.
- Rib fractures do not need any splinting.
- If a spinal fracture is suspected. DO NOT MOVE THE PATIENT if the doctor can be brought to the site. If the patient has to go to a doctor, then call for at least four to five persons; get a plank or other hard flat bed; lift the patient like a log WITHOUT ANY BEND AT ANY SPINAL JOINT, and place him on the plank. Move slowly to take him to the doctor. Remember, in a spinal injury, it is not the bones that are important but the spinal cord inside its canal that is. Once the spinal cord is cut or damaged by movement at the broken spinal joint, it will lead to permanent paralysis of the lower limbs.
- Head injury with fracture of skull: see above.
- Give a pain killer tablet or injection except in head injury cases.
- If the patient is in shock, and facilities and a doctor or paramedical staff are there, start a normal saline infusion to maintain blood pressure.