BLS transport is required for a single extremity fracture suspected proximal to which joints?

BLS transport is required for a single extremity fracture suspected proximal to which joints?

• A. Wrist and elbow
• B. Ankle and knee
• C. Knees and elbows
• D. Hip and shoulder

Answer: (C)

When deciding transport level for a single extremity fracture, the location of the suspected fracture relative to major joints guides what level of care is appropriate. If the fracture is suspected to be proximal to the elbow or knee joints, basic life support (BLS) transport is indicated because the injury is to the long bone segments (upper arm or thigh) where immobilization and continuous assessment of distal circulation, sensation, and motor function can be effectively managed with BLS techniques. Injuries proximal to the hip or shoulder involve even more central areas with higher risk of complications and often require advanced interventions beyond BLS. So the joints that define this threshold are the elbows and the knees.

When deciding transport level for a single extremity fracture, the location of the suspected fracture relative to major joints guides what level of care is appropriate. If the fracture is suspected to be proximal to the elbow or knee joints, basic life support (BLS) transport is indicated because the injury is to the long bone segments (upper arm or thigh) where immobilization and continuous assessment of distal circulation, sensation, and motor function can be effectively managed with BLS techniques. Injuries proximal to the hip or shoulder involve even more central areas with higher risk of complications and often require advanced interventions beyond BLS.

So the joints that define this threshold are the elbows and the knees.