A fracture may not be visible if the skin over the area of fracture is intact. If a broken bone protrudes through the skin surface, it is called an open fracture. Some very common causes of fracture include fall from a height, motor vehicle accidents, and a direct blow to the bone. Fractures in children should raise suspicion of child abuse.

• The initial steps mentioned regarding airway and breathing also hold good while attempting to help a victim with fracture. Appropriate resuscitation and bleeding control are indicated if necessary.
• Try to keep the person still and calm if conscious. Reassure the victim and evaluate for the presence of other injuries.
• Call for medical help and allow the medical personnel to take over if there is an immediate response.
• If the skin is broken, it should be treated immediately to prevent infection.
• If possible, lightly rinse the wound to remove visible dirt or other contamination, but do not vigorously scrub or flush the wound.
• If needed, immobilize the broken bone with a splint or sling. Possible splints include a rolled up newspaper or strips of wood. Immobilize the area both above and below the injured bone.
• Ice packs can be applied to reduce pain and swelling. However, it should not be placed directly over the wound.
• All steps must be taken to prevent shock. Lay the person flat, elevate the feet about 12 inches above the head, and cover the person with a coat or blanket.(6^✔)