fracture the bone. Therefore, except in great
emergencies, you should leave this treatment to
specially trained medical personnel and concen-
trate your efforts on making the victim as com-
fortable as possible under the circumstances.
The following first aid measures will be
Loosen the clothing around the injured
Place the victim in the most comfortable
Support the injured part by means of a
sling, pillows, bandages, splints, or any
other device that will make the victim
Treat the victim for shock.
Get medical help as soon as possible.
You should NEVER attempt to reduce the
more serious dislocations, such as those of the hip.
However, if it is probable that the victim cannot
be treated by a medical officer within a
REASONABLE TIME, you should make a
careful effort to reduce certain dislocations, such
as those of the jaw, finger, or shoulder IF there
is no arterial or nerve involvement (pulse is
palpable and there is no numbness below the
joint). Treat all other dislocations as fractures,
and evacuate the victim to a definitive care
DISLOCATION OF THE JAW. When the
lower jaw is dislocated, the victim cannot speak
or close the mouth. Dislocation of the jaw is
usually caused by a blow to the mouth; sometimes
it is caused by yawning or laughing. This type of
dislocation is not always easy to reduce, and there
is considerable danger that the operators thumbs
will be bitten in the process. For your own pro-
tection, wrap your thumbs with a handkerchief
or bandage. While facing the victim, press your
thumbs down just behind the last lower molars
and, at the same time, lift the chin up with your
fingers. The jaw should snap into place at once;
you will have to remove your thumbs quickly in
order to avoid being bitten. No further treatment
is required, but you should warn the victim to
keep the mouth closed as much as possible during
the next few hours. Figure 4-63 shows the position
you must assume to reduce a dislocated jaw.
DISLOCATION OF THE FINGER. The
joints of the finger are particularly susceptible to
injury, and even minor injuries may result in
Figure 4-63.Position for reducing a dislocated jaw.
prolonged loss of function. Great care must be
used in treating any injury of the finger.
To reduce a dislocation of the finger, grasp
the finger firmly and apply a steady pull in the
same line as the deformity. If it does not slip in-
to position, try it again, but if it does not go into
position on the third attempt, DO NOT TRY
AGAIN. In any case, whether or not the disloca-
tion is reduced, the finger should be strapped,
slightly flexed, with an aluminum splint or with
a roller gauze bandage over a tongue blade. Figure
4-64 shows how a dislocated finger can be
Figure 4-64.Immobilizing a dislocated finger.