How should a combat lifesaver manage a casualty with an open fracture?

In managing a casualty with an open fracture, the appropriate steps involve controlling bleeding, immobilizing the limb, and protecting the fracture site. This approach ensures that the immediate threats to the casualty’s health are addressed effectively.

Controlling bleeding is crucial because open fractures can lead to significant loss of blood, which can be life-threatening. By applying direct pressure to the wound and ensuring that any active bleeding is managed immediately, the lifesaver minimizes the risk of shock.

Immobilizing the limb helps prevent further injury to the bone, surrounding soft tissue, and any nerves or blood vessels that may be affected. This is essential in avoiding exacerbation of the injury and in reducing pain for the casualty.

Additionally, protection of the fracture site is necessary to prevent infection and further complications. Covering the wound with a sterile dressing helps keep the area clean and provides a barrier against contaminants.

This comprehensive approach not only stabilizes the casualty but also lays the groundwork for further treatment as needed, whether it be evacuation or advanced medical care. The other methods do not address the critical steps of bleeding control and stabilization adequately.