Fractures and Dislocations (children)

Chapter 10: Fractures and Dislocations

Overview:

• Outlines Musculoskeletal injuries and their assessment
• Describes Sprains, Strains, and Fractures and their treatment
• Includes a description of dislocations
• Describes common problems with Plaster-of-Paris (POP) casts

Description:

Younger children are at greater risk of injury than older children and adults. This is because they have a poor understanding of risk and danger; they are unaware of their own limitations; and they are easily distracted. There are many possible causes of injury in children. This chapter describes injuries that affect the bones, joints, or muscles of the body and elaborates on care of children being treated for a musculoskeletal injury.

Topics:

• Musculoskeletal injuries
  • Sprains and strains
  • Fractures
  • Dislocations
• Problems with splints and casts

Speaker / Author:

Gerry Silk
Gerry is a registered paediatric nurse who holds a bachelor’s degree and a master’s degree in education. Gerry trained at The Hospital for Sick Children, Great Ormond Street, London, and now has more than 30 years of experience in the care of sick children in various settings, including major city hospitals and outback Australia. Gerry spent 15 years working in the Emergency Department of the Royal Children’s Hospital (Melbourne, Australia), including ten years as the clinical nurse educator. She now works part-time as a paediatric nurse educator at the Angliss Hospital (Melbourne).

Gerry also runs her own business in paediatric health education and consultancy. In this capacity she presents seminars and educational sessions for parent groups, nurses, and other health professionals. While at the Royal Children’s Hospital, Gerry had a particular interest in the care of suddenly bereaved families. She developed hospital guidelines for the care of families affected by sudden infant death syndrome (SIDS), and these guidelines are now used around Australia. Gerry continues to have strong links with the ‘SIDS & Kids’ organisation, and conducts creative scrapbooking workshops for bereaved parents.

Gerry also instigated the use of calico dolls with children who are receiving health care. The dolls are now used throughout Australia and in many countries overseas — with the support of the Kiwanis organisation, which coordinates the making of the dolls. As a result of this initiative, Gerry was awarded the Victorian Community Service award in 1993. Gerry is especially interested in the cultural aspects of health care, and her postgraduate studies (which included study in China) reflected this abiding interest. Gerry regularly works in developing countries for a couple of weeks each year, which also allows her to indulge in her love of travel.

Professional Reviews:

Child Fracture Dislocation overview: Basic of signs and symptoms to look for, treatments available, while looking after kids with fractures. sprains and disiocations in an emergency setting. Also what to look for when POPs are applyed to arm or lower limb, reducing the risk of increased pressure within the POP area. Interesting reading as a refresher considering that this is not an area that I find myself working at this time.