Oh My Guard
First Aid

Falls and fractures: first aid

What to do after a fall or a suspected broken bone, and when not to move someone.

Call 108Ambulance

Because a badly splinted limb and a moved spine both cause lasting damage.

Do this now

  1. 01Keep them still and support the injured part in the position you found it.
  2. 02If you suspect a neck or back injury, or they fell from a height, do not move them at all. Steady the head and wait for the ambulance.
  3. 03Immobilise the limb with a splint and padding, tying above and below the break, never over it.
  4. 04Apply a cold pack wrapped in cloth for swelling, 15 to 20 minutes at a time.
  5. 05Cover any open wound with a clean dressing before splinting.
  6. 06For an older person after a fall on the hip, do not attempt to stand them up.

Do not

  • Do not try to straighten or "set" a bent limb. That belongs in a hospital with X-rays and pain relief.
  • Do not massage the area or apply hot oil.
  • Do not let them walk on a leg you think is broken to "test" it.
  • Do not apply ice directly against skin.
  • Do not give food or water if surgery is likely.

What to tell the operator

  • How they fell and from what height
  • Which part is injured and whether the bone is visible
  • Whether they hit their head or lost consciousness
  • Their age, and whether they take blood thinners

Find help near you

See the nearest places with distance, whether they are open, a phone number and directions.

What this page cannot tell you

  • Whether a bone is broken, cracked or only bruised — only an X-ray settles it
  • A head injury can look fine for hours before it does not