Call 911 if:
- The person is seriously injured or unconscious.
- The hand is numb or cold.
- The skin under the fingernail is blue.
- A bone is sticking out of the skin.
- The bleeding doesn’t stop after several minutes of firm pressure.
- Blood spurts from the wound.
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Stop Bleeding if Necessary
- Apply firm pressure with a clean cloth until bleeding stops.
- If the bone is pushing through the skin, do not touch it or try to put it back in place.
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Control Swelling
- Apply an ice pack (do not put ice directly against the skin).
- If possible, remove any jewelry immediately.
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Immobilize the Hand
If the person’s hand is numb or cold or the skin under the fingernails is blue, do not move the hand or arm. Otherwise:
- Have the person bend the arm at the elbow.
- Do not try to straighten the hand if it bent or deformed.
- Tie a splint on the lower arm with fabric or elastic bandages. Cardboard, rolled-up newspaper, or other stiff material can be used as a splint.
- Make a sling and place the person’s arm in it. Tie the sling around their neck.
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See a Health Care Provider Immediately
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Follow Up
- The health care provider will likely take X-rays and check for feeling and range of motion in the hand to determine whether there has been nerve or tendon damage.
- The health care provider may apply a splint or cast.
- Surgery may be needed for more complicated fractures.
Sources
Referenced on 22/05/2021
- https://www.webmd.com/first-aid/broken-hand-treatment
- University of California San Francisco Medical Center: “Hand and Wrist Fractures."
- American Academy of Orthopaedic Surgeons: “Hand Fractures."
- American Society for Surgery of the Hand: “Hand Fractures."
- Broken Hand Information from eMedicineHealth.