Resuscitation per ATLS guidelines
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
Consider traction splint
Little evidence to support its use
Theoretical benefit of traction splinting is reduction in bleeding and improved pain
Sager and Hare splints are commonly used by EMS providers
Buck's traction used by ortho
Little evidence to support its use
Theoretical benefit of traction splinting is reduction in bleeding and improved pain
Sager and Hare splints are commonly used by EMS providers
Buck's traction used by ortho
Mid-shaft femur fracture
Acute Trauma
Femoral neck fracture
Femur fracture
Humerus fracture
Proximal
Humerus shaft fracture 
Intracapsular