Acute pain management
Open fractures require immediate IV antibiotics and urgent surgical washout
Neurovascular compromise from fracture requires emergent reduction and/or orthopedic intervention
Consider risk for compartment syndrome
Immobilize using double sugar tong or long-arm posterior splint
Elbow at 90 degrees, forearm in pronation or neutral rotation
Types II & III should have orthopedic consult in the ED
Elbow at 90 degrees, forearm in pronation or neutral rotation
Supracondylar fracture
Adult
Jefferson fracture
Proximal
Torus fracture
Shaft
Pisiform fracture
Distal