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Zhang Jun is fixing the fracture of a tourist who fell down. Photo provided by Southwest Hospital

The weather is hot, and water activities such as canyoning and rafting have become popular. However, while enjoying the coolness, we must also pay attention to safety. Recently, Zhang Jun, an emergency doctor at the Southwest Hospital of the Army Medical University, encountered a tourist who was injured in a canyoning fall while on a tour.

On August 4, Zhang Jun, who was walking on a mountain road in the Jindao Gorge Scenic Area in Chongqing, heard shouts from the front. A female tourist did not hold on to the rope while rafting and accidentally fell into the water from a height.

Zhang Jun recalled that the female tourist had a very painful expression on her face. Zhang Jun and his friend dragged her to the shore and found that her left forearm was swollen. "It should be a fracture and needs to be fixed immediately." However, Zhang Jun was still some distance away from the exit of the scenic spot and there was no equipment for fixing it.

"I decided to use local materials to fix her." Zhang Jun asked the lifeguards in the scenic area to find a foam board and a black plastic bag from nearby to fix the female tourist in a simple way to relieve her pain. After bandaging and fixing, the staff called the emergency number and transferred the female tourist to a nearby hospital.

On August 6, a reporter from Upstream News learned that after examination at a local hospital, it was confirmed that the female tourist had fractures of her left ulna and radius. Due to timely treatment, no related complications have occurred and she is currently receiving follow-up treatment.

Zhang Jun reminded that when people go out to play, especially when passing through places with complex terrain, they should follow three principles:

First, “take the steps instead of the slopes.” When going up and down the mountain, try to take the stone steps instead of the slopes.

Second, "walk on hard surfaces, not soft ones." Walking on hard surfaces such as cement, asphalt, and stone slabs is more labor-saving and safer than walking on soft surfaces such as grass, riverbanks, and wetlands.

Third, "avoid slippery surfaces and go for rough terrain." Choose to walk on rough snowy and grassy slopes, and avoid slippery and dangerous ice surfaces, sandy and rocky slopes, etc.

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If you encounter someone with a fracture when you are out and about, you need to pay attention to the following points:

1. Use local materials and fix them on site;

2. Only fix, do not try to recover;

3. For open fractures, the bleeding should be stopped first, then fixed, and finally the pain should be relieved;

4. The width of the splint should be similar to the affected limb, and the length should exceed the two adjacent joints;

5. Add padding before using the splint;

6. For open fractures, the broken bone ends are exposed. Do not pull them or put them back into the wound.

7. Bandage the wound with disinfectant or clean clothes as much as possible;

8. When fixing the limbs, expose the ends of the fingers or toes to observe the blood circulation;

9. Keep warm in winter;

10. If a tourniquet is used, the activation time must be recorded;

11. In case of severe trauma, request support promptly while rescuing the patient.

Upstream News reporter Shi Heng, interns Wu Yuanyi and Li Xinran