American Board of Surgical Assistants (ABSA) Orthopedic Practice Test

Which of the following should be splinted before moving a patient?

1. Fractured radius

2. Dislocated humeral head

3. Severely sprained ankle

4. Dislocated phalanx

The correct answer is: Dislocated humeral head

When considering the need for splinting before moving a patient, the primary goal is to stabilize the injury and prevent further damage during transportation. A dislocated humeral head requires immediate care due to the potential for significant damage to the surrounding structures, including blood vessels and nerves. It is crucial to stabilize the joint in its current position to minimize pain and prevent additional injury. In cases such as a fractured radius, a severely sprained ankle, or a dislocated phalanx, while splinting may be necessary, the urgency of splinting before movement is not as critical as with a dislocated humeral head. The dislocation of the humeral head poses a higher risk of complications and should be addressed promptly and properly before the patient is moved to ensure their safety and well-being during transport. Thus, splinting a dislocated humeral head is the most important action to take before moving the patient.