What is the immobilization goal for a forearm fracture in the field?

• A. Realign the bones to anatomical position before immobilization.
• B. Only immobilize the hand, leaving the forearm free.
• C. Remove all padding to allow swelling.
• D. Immobilize in the position found to maintain alignment, using a rigid or padded support, with padding at pressure points, and immobilize the elbow and wrist.

Answer: (D)

Immobilization in the field aims to limit movement of the fracture and protect surrounding tissues by holding the limb in its current position with proper support. For a forearm fracture, the best approach is to apply a splint that extends to immobilize both the elbow and the wrist, keeping the forearm in the position found and preventing further displacement. Use padding at pressure points to prevent skin and nerve injury, and choose a rigid or padded support that maintains stability along the entire forearm.

This approach avoids manipulating the bones in the field, which can cause more harm; it also ensures the forearm, not just the hand, is immobilized, and it includes padding rather than removing it to accommodate swelling.