First aid for fractures is all about immobilising (limiting movement of) the injured area. Apply ice to the site of the fracture. By using our site, you agree to our. Broken Bones First Aid For Broken Bone: Control the bleeding by keeping sterile, clothes /cotton pad with a firm pressure. Symptoms include: Severe pain while breathing, sneezing, laughing, talking or any movement of the chest. Do not move a victim whose back, neck or head are injured unless absolutely necessary. Make sure you do not put yourself in danger when going to the assistance of another person. This article was co-authored by Jonathan Frank, MD. Less common symptoms of shock include: anxiety and agitation; bluish lips and fingernails; confusion or unresponsiveness; seizures, sweating or chest pain; eyes that appear to stare. simplyzahra123. While applying ice, make sure the broken bone is elevated in order to combat swelling and slow down bleeding (if applicable). In cases of suspected spinal injury, a head injury should also be considered. This attempts to limit movement of the surrounding joints to prevent further injury, Use wide bandages above and below the injured area, Pad the splints to prevent further injury and increase comfort, Check the casualtys circulation in both the area of injury and throughout the entire body, Cover wounds and apply pressure to halt bleeding, Check for other fractures (open, closed or complicated), Immobilise fracture with wide bandages above and below joints to prevent movement, Apply the bandages under the natural hollows of the body to support the limb (handle with care), Create a splint with padding and apply to the injured area, If it is a leg fracture you must immobilise the foot and ankle, After applying the splint you must check that it is not too tight or too loose in 15-minute intervals, Check for signs or circulation loss in the foot or hand, Help move into a more comfortable position (often half sitting and leaning on the injured side), Explain for the casualty to take short breaths, Carefully and softly position passing over the injury, Apply a wide bandage to secure the padding and arm to the chest on the injured side, Tie the bandage in the front of the injured side, If bandages cause discomfort loosen or remove. If you suspect an athlete has a broken bone provide first aid treatment. Do not let the person bear any force on the fracture. Apply a clean dressing loosely over the injured part. This Week @ Metro Safety; . It can lead to shock, a weak pulse, or breathing difficulties. Dr. Frank's practice focuses on minimally invasive, arthroscopic surgery of the knee, shoulder, hip, and elbow. Specific broken bones need specific treatment: Put ice on the injury. Just add more gauze / bandage on top. How you can help. Part 1 Administering First Aid Download Article 1 Restrict the person's movement as much as possible. Rib fractures in the elderly are generally caused by slips, trips or falls whilst rib fractures in sports can be caused by high impact from teammates, the opposition, sports equipment, trips or falls. ->The treatment for a bruise is most effective right after the injury, while the bruise is still reddish. First aid providers are not expected to be able to diagnose whether a person has a fracture or a sprain or strain. Use it to try out great new products and services nationwide without paying full pricewine, food delivery, clothing and more. And you may be able to help save a life. The content of this article is not intended to be a substitute for professional medical advice, examination, diagnosis, or treatment. In addition, aspirin and ibuprofen should not be given to young children, because they may cause dangerous side effects. This article has been viewed 24,363 times. Get Immobile: Do not move the injured area. First Aid For Fracture : Emergency steps to treat fracture while waiting for medical assistance to arrive. The first step of any first-aid is to stop the bleeding. Depending on its location, a broken bone can be life-threatening. Ideally, splints should pass above and below the joints near the site. Use your hands to immobilise and support the fracture in a position as painless as possible. Place a piece of stiff cardboard or plastic, a branch or stick, a metal rod, or rolled up newspaper/magazine on either side of the injury to support the bone. The jaw-thrust method involves kneeling behind the person and placing a hand on either side of her face, middle, and index fingers beneath and behind the jaw. The best method of immobilization is to make a simple splint. When splinting a fractured bone, try to allow movement in the adjacent joints and don't secure it too tight allow appropriate blood circulation. Use the jaw-thrust method of airway opening, but only if you have been trained on how to do so. 2. First Aid tips for Fractures include: You should immediately call 911 (or your local emergency number) if: The Fracture is a result of major trauma, injury, or motor vehicle accident There is heavy bleeding from the injury site The individual is unconscious You suspect a head, neck, or back injury If necessary, call 911 or the local emergency number and begin rescue breathing, CPR, or bleeding control. Thanks to all authors for creating a page that has been read 24,363 times. Thanks for visiting. Keep the patient lying down and as still as possible. Occupational First Aid Level 2 Part Time; Occupational First Aid Level 3 Part Time; Occupational First Aid Level 3 Pro Renew Part Time; Resources . November 1, 2018 October 20, 2021 VMEDO. If doing this is very painful, use scissors to cut off the clothing. But injuries are also sustained during the panic that ensues in an emergency. Cover to keep warm. You should always contact your doctor or other qualified healthcare professional before starting, changing, or stopping any kind of health treatment. If the blood flow has been compromised, it's likely that the injured person will experience numbness or even paralysis below the fracture site. However, it is imperative they are managed correctly to ensure the healing process can run its course without any disruptions such as infection, permanent deformity or lifelong disability. An example of a direct fracture is when an object has a violent impact with a body part. Use Coupon Code LIBRARY1122 at checkout! One of the most important things to learn in life is the subtle yet essential art of giving first aid. Get helpful tips and guidance for everything from fighting inflammation to finding the best diets for weight lossfrom exercises to build a stronger core to advice on treating cataracts. If you have one easily at hand, a padded splint can be applied to the fractured bone to immobilize the injury and reduce discomfort. By signing up you are agreeing to receive emails according to our privacy policy. . Avoid moving the affected area; any movement can result in serious complicationsespecially in the case of neck and back fractures. Wrap the ice pack in a towel. Take any clothing off the injured area. First-Aid Treatment for Fractures Fractures that are brought about by major trauma or injuries are considered a medical emergency, so calling for local emergency services is the first thing anyone should do in this case. Remove clothing from the injured area. EMAIL ADDRESS info@metrosafety.ca. The jaw-thrust method involves kneeling behind the person and placing a hand on either side of her face, middle, and index fingers beneath and behind the jaw. Then, while you wait, start by immobilizing the broken bone with a simple splint. This can lead to complications in the repair and healing of the injury later on. Complicated fractures are a result of a fracture causing further injury. 1. Following are some of the simple steps that you'd need to follow: Skip to content. Do not ask the person to move any area of the body that causes discomfort or pain, Note: As you check the person, take note of any medical identification tags, 4 After completing the CHECK step, CALL 9-1-1 and get equipment, or tell someone to do so (if needed). He completed an orthopedic residency at Rush University Medical Center in Chicago and a fellowship in Orthopedic Sports Medicine and Hip Preservation at the Steadman Clinic in Vail, Colorado. Take the following steps to reduce your risk of a broken bone: Wear protective gear while skiing, biking, roller blading, and participating in contact sports . To determine the severity of the fracture, your doctor may suggest an x-ray, CT scan, bone scan, or MRI . And at the very least, a sprain or break hurtsa lot. Struggling with migraine hangovers? Test. This can cause further damage and potentially turn a minor injury into a severe, life-threatening injury. Expert Interview. In the open fracture, the bone is exposed and, therefore, the bandage should not be covered with the . Internal fracture. This is especially important if they feel any pain in their neck, as moving them could cause serious injury to their spine. If you answered yes, then youre at risk of suffering from or witnessing a fracture. Keep the fractured bone (including the joints above and below the fracture site) motionless as indicated hereunder: If the lower-arm is fractured, keep the wrist and elbow joints motionless. NSAIDs may increase the risk of bleeding in the brain. Dr. Frank holds an MD from the University of California, Los Angeles School of Medicine. Gravity. A broken bone, or fracture, is a significant and traumatic injury that requires medical attention. Then, give CARE based on the condition found and your level of training and continue your check to determine if additional care is needed, Note: For a person who is unresponsive and not breathing, start CPR and use an AED immediately. First aid of fractures: Stop bleeding, especially in the case of open fracture where the skin is torn, by wrapping the wound with a sterile bandage or a clean cloth. This is a consequence of the impact travelling up the arm and causing a break or crack to occur in the collarbone. Created by. Advise the casualty to take short breaths as deep or normal breaths will inflict more pain. Fractures, although painful, are often not life-threatening injuries. "Process that follows when you want to help someone who has an accident and breaks their leg. In order to identify the fracture, don't make the mistake of moving the injured part. You can use flat sticks, planks, rulers, rods, and so on as a splint. Top picks - Office first aid kits It is mandatory that every workplace has compliant first aid kits on site, no matter how large or small, or how high or low the risk of injuries is. Be prepared to give chest compressions and rescue breaths if needed. Emergency calls: Call the emergency services and stay with the injured person until they arrive. STEP#4: Makeshift wrist support. Never apply a heat pack or warm compress to the injury, as this will increase blood flow to the area, increasing swelling and pain. Cooling a closed fracture: If the fracture is closed, gently cool the area with an ice pack wrapped in a cloth. Broken Knuckle: Diagnosis, Treatment, and When to See a Doctor. Loosen the splint if it appears to be causing either paleness, swelling, or numbness. For more help from our Medical co-author, including how to recognize signs of shock, read on. Other common symptoms of broken bones include: limited use of the injured area (reduced mobility or unable to put any weight on it), immediate local swelling and bruising, numbness, or tingling downstream from the break, shortness of breath, and nausea. When treating all fractures, or suspected fractures, the following first aid steps should be followed: The injured part must be visualised. Do not attempt to move or reposition the injured limb. The pain may also be accompanied by a grating sound and sensation, which occurs when the two halves of the broken bone rub up against each other. The extremity of the injured arm or leg, such as a toe or finger, is numb or bluish at the tip. In this case, splinting may cause more harm than good if you don't have the appropriate training. Here is a list of our top first aid kit picks for . 1. Use Coupon Code FIRST1122 at checkout! Keep the injured area elevated if you can. This article should not be regarded as a substitute for medical care. . It is crucial to immobilise the injured area by using makeshift wrist support. If you suspect that someone has a broken bone, provide first-aid treatment and help them get professional care: Stop any bleeding: If they're bleeding, elevate and apply pressure to the wound. If you bleed more, direct filling hemostasis. Keep the area still, do not move it, or else the bones that are fractured may get displaced from their normal position. Elevate the wound and apply pressure with a clean cloth or sterile bandage. Enjoy! Apply a splint, then apply one directly above and below the affected area. 1 CHECK the scene for safety, form an initial impression, obtain consent, and use personal protective equipment (PPE), 2 If the person appears unresponsive, CHECK for responsiveness, breathing, life-threatening bleeding or other life-threatening conditions using shout-tap-shout, 3A If the person does not respond, responds but is not fully awake, is not breathing or is only gasping, or has life-threatening bleeding or another obvious life-threatening condition, CALL 9-1-1 and get equipment, or tell someone to do so. This may include the bone tearing and bulging through the skin. If the upper-arm is fractured, keep the shoulder and elbow joints motionless. Place a padded splint along the injured limb then bandage above and below the fracture site leaving a five (5) cm gap either side of the fracture to prevent movement. Jump-start a healthier New Year with four holiday eating tips. Fractures (broken bones) are common injuries for first aiders to have to deal with. Reduce Swelling. Tie it in place with pieces of cloth. Home; Course Calendar. Otherwise you risk making the injury worse. Shop Now >. They may be in pain, have bruising and swelling, or be lying in an unnatural position. C. Apply a liberal amount of ice to the injured area. Good first-aid care of fractures is important. Make sure to wrap the ice pack in a clean cloth or towel the ice should never come in direct contact with the skin, as the extreme cold may cause tissue damage. Bitesize Fractures, Sprains, Strains, Dislocations Learn how to identify and manage first aid to a casualty suffering a sprain, strain or dislocation in this interactive online course. First aid steps include: Check the person's airway and breathing. This article has been viewed 323,467 times. 2021, CPR AED for Professional Rescuers Materials, First Aid for Severe Trauma (FAST) Training Resources, Responding to Emergencies & Emergency Medical Response, Interview the person (or bystanders, if necessary), ask questions about signs and symptoms, allergies, and medications and medical conditions (SAM), Do a focused check based on what the person told you, how the person is acting and what you see. An example of an indirect fracture is someone using their hand to break their fall and it results in a collarbone fracture. However, there may be bleeding surrounding the bone which can cause swelling. Gently tape the dislocated area or fracture to a rolled-up newspaper, ruler, stick, or a rolled-up piece of clothing with first aid tape. % of people told us that this article helped them. Don't give the injured person a higher dose of pain medication than the dosage indicated on the packaging, regardless of their pain level. Use our First Aid for Fractures guide to ensure you are providing the right care necessary for fracture management. Have the injury treated by a physician or a qualified medical professional as soon as possible. An example of a complicated fracture is a broken rib piercing a chest organ. DRSABCD stands for: D anger - always check the danger to you, any bystanders and then the injured or ill person. And that includes all office spaces. ", How to Provide First Aid for a Broken Bone, https://www.nlm.nih.gov/medlineplus/ency/article/000001.htm, https://www.nhs.uk/common-health-questions/accidents-first-aid-and-treatments/how-do-i-know-if-i-have-broken-a-bone/, http://www.mayoclinic.org/first-aid/first-aid-fractures/basics/art-20056641, https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/cardiopulmonary-resuscitation-cpr, https://www.redcross.org/take-a-class/cpr/performing-cpr/hands-only-cpr, https://medlineplus.gov/ency/article/000040.htm, https://www.mayoclinic.org/first-aid/first-aid-fractures/basics/art-20056641, https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/shock, aplicar primeros auxilios debido a fracturas, Offrire le Cure di Primo Soccorso in Caso di Frattura, Memberikan Pertolongan Pertama pada Patah Tulang, administrer les premiers secours lors d'une fracture, Jak poskytnout prvn pomoc pi zlomenin kosti, . Shop Now >, 10% OFF and FREE SHIPPING on ALL First Aid Supplies! Please refresh your results and try again. Head injury - first aid Head injury - first aid A head injury is any trauma to the scalp, skull, or brain. ", "Everything was so clearly give. You can use a makeshift splint, such as a stick, ruler or rolled newspaper, and apply it below the forearms and wrists. Control any bleeding. NASA's Artemis I Conclusion Sets the Stage for Future Moon Missions Historic Moon Mission Prepares For Final Leg Of It's Journey This Weekend NASA's Orion spacecraft is nearing the end of a historic journey beyond the Moon this weekend. Then, give CARE based on the condition found and your level of training. Your browser's Javascript functionality is turned off. The first step in providing first aid is to prevent the injured person from moving. Regardless of the location of the wound, the first and most important step in first aid for a compound fracture is to stop the bleeding.Using the cleanest material available, place it over the wound and apply gentle pressure with your hand for 2-3 minutes before removing the makeshift bandage to see how much the bleeding has reduced or if it has stopped. How to Splint a Fracture For a lower arm or wrist fracture (left), carefully place a folded newspaper, magazine, or heavy piece of clothing under the arm. There is heavy bleeding. Use Coupon Code SUPPLY1122 at checkout! Do you work outside or in an accident-prone environment? 19 slides 9 provide frist aid fractures and soft tissue injuries Bibhod DOTEL 1.1k views 14 slides Bone, joint, and muscle injuries Jaypee Guinto 3.9k views 26 slides MUSCULOSKELETAL INJURIES udit dixit 2.4k views 54 slides Strain sprain fracture Kris Ann Mae Yap Bonilla 10.3k views 36 slides Fracture and its nursing management Durga Joshi First aid for a fracture. Stabilize: Avoid movement if possible, especially if the fracture is suspected in the neck, back or head. Reduce and manage serious bleeding and shock, Inhibit any further internal or external damage from occurring, Stop a closed fracture developing into an open fracture, Position the splint and body part as close as possible to the limbs natural structure, Ensure the splint extends beyond the injured area in both directions. Have you done your crossword puzzle today? Ask them to sit or lie still, and try to make them as comfortable as possible. Fracture first aid. While ice works best, anything cold, like frozen vegetables, will work as long as you wrap it in a thin cloth to avoid ice burn. By using this service, some information may be shared with YouTube. There are 38 references cited in this article, which can be found at the bottom of the page. If they do, they may experience very severe, pulsating pain at the site of the body. 3. This will create trauma to the surrounded soft tissue of the area that is affected. Apply a stint (if possible). First aid for bone fractures. A broken bone or fracture happens when the bone gets cracked or chipped. If you don't have a padded splint you can improvise and make your own using any available materials. Give the gift of life with these lifesaving and life-changing gifts, handpicked for the people you care for. The content of this article is not intended to be a substitute for professional medical advice, examination, diagnosis, or treatment. Fractures occur on the football field, tennis court and in all sorts of sporting environments. Dizziness. A person with a suspected spinal injury who is unresponsive but breathing normally should not be moved unless absolutely necessary. Injuries are practically inevitable in emergency situations. The bone has pierced the skin. First aid is as easy as ABC - airway, breathing and CPR (cardiopulmonary resuscitation). If there is bleeding, use a clean cloth or gauze to apply pressure on the source of the bleeding. After holding ice on the injury for about 20 minutes, take it off for 20 minutes. Gauze and bandage are common medical products in medicine, often used in dressing the wound. Apply an ice pack wrapped in cloth. If there is a large object penetrating into the skin, do not remove it. After the human body is injured, most will use gauze or bandage . Over-the-counter anti-inflammatories such as aspirin and ibuprofen (Advil) are helpful for pain and inflammation, but they inhibit blood clotting, so they aren't a good idea for internal injuries such as broken bones. The injury should also feel tender to the touch when light pressure is applied. Tibia fracture. Don't try to move the person only if necessary to avoid further injury. Hold a pillow against your chest as you cough. However if the bone is visible, don't press on it. Flashcards. References. Concerned about your childs development? Moving the broken bones can increase pain and bleeding and can damage tissues around the injury. Adirect fractureis when the bone suffers a break or crack in the location the impact occurred. To create this article, volunteer authors worked to edit and improve it over time. wikiHow is a wiki, similar to Wikipedia, which means that many of our articles are co-written by multiple authors. If the finger was placed incorrectly, the power from the ball may cause a direct crack or breakage. A splint holds the bone still and protects it until you see a doctor. Overeating? Immobilize the bone in the area of the fracture by immobilizing it. Copyright St John Ambulance Australia (VIC) Inc. ABN: 69 061 844 380 Registered charity: 10096, St John Ambulance (VIC) delivers nationally accredited training on behalf of St John Ambulance Australia (RTO 88041). If possible, wear gloves to prevent your hands from coming in direct contact with the patient's blood this will also help to prevent infection. Push each side of the jaw forward until it juts out. If a wound is present, check for any significant bleeding; and if bleeding, apply direct pressure around any exposed bones. goals of first aid treatment keep animal calm with sedation and adequate restraint, keep owner calm most important aspects of fracture first aid assess overall patient with full PE, assess injury site for lacerations, soft tissue trauma, joint communications, instability, crepitus, assess for other injuries aspects of examining the patient A lower leg or ankle fracture (right) can be splinted similarly, with a bulky garment or blanket wrapped and secured around the limb. Immobilize the injured area. St John has a range of First Aid products to suit any situation. Bitesize Fractures, Sprains, Strains, Dislocations. In such cases, call emergency services and make sure the person is in a stable position and not in danger of further injury. Dr. Frank is currently a scientific reviewer for top peer-reviewed scientific journals, and his research has been presented at regional, national, and international orthopedic conferences, winning several awards including the prestigious Mark Coventry and William A Grana awards. As a small thank you, wed like to offer you a $30 gift card (valid at GoNift.com). Adjust the sling so that it supports their arm all the way to the end of their little finger. If the bleeding won't stop from an injured limb, you may have to tie a tight tourniquet above the wound to temporarily cut off the circulation until medical help arrives. Even if you think your fracture is not life-threatening, resist the urge to drive yourself to the hospital. There are 9 references cited in this article, which can be found at the bottom of the page. - PDF format (PDF/X-1A to be precise). The impact can either cause a direct or indirect fracture. Health Alerts from Harvard Medical School. A closed fracture occurs when the broken bone does not penetrate the skin. PLAY. Immobilise the arm using a St John sling. You should always contact your doctor or other qualified healthcare professional before starting, changing, or stopping any kind of health treatment. Until medical help arrives, it's crucial that you look out for signs of . Match. Dial 999 for an ambulance. When the splint is in place, secure it with string, rope, cord, or a belt. Check the circulation in their fingertips every 10 minutes. If a tooth or dental appliance breaks, take the following steps: Remove loose dentures and the parts of broken dentures. While you wait for that care, there are some simple first aid steps you should take to prevent further injury. % of people told us that this article helped them. Make sure it's not too tight. The spacecraft made one final close approach above the Moon's surface on Monday, Dec 5th and fired its engines to set it on a course back to Earth. A trained person with knowledge of first aid can perform this task efficiently. Breathing exercises; to keep your lungs fully inflated, take ten slow but deep breaths every hour to achieve clear lungs. Sports Orthopedic Surgeon & Joint Preservation Specialist. Use the jaw-thrust method of airway opening, but only if you have been trained on how to do so. The splint should be wrapped tightly but not too tightly with bandages or plaster. Depending on the severity of the injury, the fractured bone may take up to several months to heal. We've broken down what your first aid requirements are into 4 simple steps. Move from one place to another during the resting period, moving your body especially the shoulders clears the mucus from the lungs and improves breathing. Do not wash the wound because what you likely have to rinse it. Although a closed fracture will require professional medical attention in order to heal properly, a good knowledge of first aid protocol can help to make the injured person more comfortable while waiting for treatment and prevent the fracture from becoming worse. Covering the wound with a clean cloth will also help to prevent it from becoming infected. Broken bones aren't generally life threatening, but they do require immediate care from a medical professional. Workplace infection control course completed online within 45 minutes. No matter what the cause, the sound of a bone cracking or breaking will instil instant dread in anyone. Apply firm pressure to the wound area with a clean cloth until bleeding stops. A lower leg or ankle fracture (right) can be splinted similarly, with a bulky garment or blanket wrapped and secured around the limb. Compressed gauze or winding roll is generally used with military bandages, mainly used for the large wound side. Customer Service, Adult, Child and Baby First Aid/CPR/AED Online, First Aid Certification (Certification & CEUs), New First Aid/CPR/AED Materials Rev. The more you will move it, the more it will pain. Step 1: Assess the Situation. They can be caused by a trip, slip, fall or direct impact with an object but are generally a result of an unpreventable accident. You suspect a bone is broken in the neck, head or back. Immobilise the injured part. Breaking of bone either with or without wound. Be very careful when assessing the injury not to cause much movement. Call emergency services if you notice the following: call for emergency help if The person is unresponsive, isn't breathing, or isn't moving; there is heavy bleeding; gentle pressure or movement causes pain; the limb or joint appears deformed; the bone has pierced the skin; the extremity of the injured arm or leg, such as a toe or finger, is numb or bluish at the tip; you suspect a bone is broken in the neck, head or back. If the person must be moved, the legs should be strapped together (with a towel or blanket in between them) and the person gently placed on a board, as for a back injury. Use broad bandages (where possible) to immobilise the fracture. Rib fractures are usually not life-threatening injuries, but if a rib pierces a chest organ the severity intensifies and medical assistance must be called immediately. Dress the wound using a clean bandage. STUDY. As you wait for medical assistance, ask the patient how the injury happened and where they feel pain. Terms in this set (6) Fracture. Research source Splinting may not be necessary if emergency services are coming right away. If you or someone near you has broken a bone, call emergency services immediately. A person with a hip or pelvis fracture should not be moved. Swelling occurs when the bodys immune system releases inflammatory chemicals through the blood in order to eliminate harmful stimuli around the site of the injury, such as irritants, damaged cells, and pathogens. Sign up now and get a FREE copy of theBest Diets for Cognitive Fitness. The intensity of the impact generally correlates with the number of ribs fractured. Compressing it against the injury may help reduce swelling even more as long as it doesn't increase the pain. The casualty may be able to support the fracture themselves. It set my mind at rest, because I. The same goes for giving the patient any food or water. Elevate the extremity to reduce swelling. A closed fracture means there was no breakage to the skin when the injury occurs. Fractures are very painful and debilitating injuries. Keep in mind that this technique will only work if the blood is coming from a vein (which pumps blood at a low pressure). Control Bleeding. Spell. The major symptoms of shock include rapid, shallow breathing; cold, clammy skin; a rapid, weak pulse; feeling very weak or faint. We're unable to add this class to your cart. If you suspect someone has a fracture, then you should follow the first aid steps below: 1) Keep the area as still as possible, ask the person not to move it 2) Expose the site of injury to check for any bleeding or open wounds. {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/7\/7f\/Provide-First-Aid-for-a-Broken-Bone-Step-1-Version-2.jpg\/v4-460px-Provide-First-Aid-for-a-Broken-Bone-Step-1-Version-2.jpg","bigUrl":"\/images\/thumb\/7\/7f\/Provide-First-Aid-for-a-Broken-Bone-Step-1-Version-2.jpg\/aid121080-v4-728px-Provide-First-Aid-for-a-Broken-Bone-Step-1-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"