Whether it's a botched superman leap, a sibling wrestling match gone rogue, or just an unlucky fall at footy; sometimes kids break things. Sometimes that thing is a bone.
So...what do you do next?
When to call an ambulance or head to emergency?
If the injury is serious, call 000 immediately.
You should always seek emergency help if:
- The injury happened in a major accident (car crash, fall from height etc.).
- Your child is unconscious or unresponsive.
- There is heavy or uncontrolled bleeding.
- There is the possibility of head, neck or spinal injury.
- The arm or leg is at an unusual angle or discoloured.
- The bone is sticking through the skin.
- There is severe bleeding or swelling.
Need a full first aid rundown? Please check out St John Ambulance Australia's guide.
Not an emergency? Kinkaya can help!
If you suspect your child has a broken done, dislocation or serious sprain- but it's not life threatening- Kinkaya Urgent Care is here to help.
Even if you're unsure, it's best to assume it is a fracture until proven otherwise.
And no. Please don't try and 'pop it back in'.
Here's what to do straight away:
- Support and immobilise the area (use a splint if you have one).
- If bandaging, make sure it's not too tight- check for warmth, colour and circulation every 15 min.
- Don't try and straighten the limb or force anything into place.
- Seek medical help- you are always welcome here at Kinkaya.
What happens at Kinkaya if a fracture is suspected?
1. Triage
When you arrive, our triage nurse will:
- ask what happened.
- Check for any other injuries.
- get a brief medical history.
- Start pain relief if needed.
2. Assessment
Our doctor will examine the injury. If a fracture or dislocation is suspected, we'll send you straight for an x-ray.
Yes, we now do x-rays on-site!
Our radiology service is now up and running, including evenings and weekends. That means less running around for you and faster answers.
Check our radiology hours here.
Learn more about x-rays at Kinkaya in this post.
Treatment plan for simple fractures.
Most simple fractures heal in around 6 weeks, but the exact approach depends on the type and location of the break.
Here's what a typical fracture journey at Kinkaya looks like:
Day 1: Assessment & immobilisation
- We'll review the x-rays and immobilise the limb, usually with a back slab (a half cast with bandages). This allows room for swelling in the early days.
- If there's major displacement, we may refer you to the hospital for orthopaedic review. Otherwise, we can manage your care right here at Kinkaya.
Week 1: Review & full cast
- You'll come back for a follow-up x-ray.
- If healing is on track, we'll put on the final cast.
Week 6: Cast off & final check
- Cast is removed.
- A final x-ray is taken to make sure the bone has healed.
- If all is well- great! If not quite there, we'll either re-cast or refer for further orthopaedic care.
Useful resources.
For a full rundown on fractures and their management. here's some useful links:
Sydney Children's Hospital- fracture fact sheet
St John Ambulance- fracture & dislocation first aid fact sheet
What the Rafael Nadal Documentary Tells Us About Pain
Dr Justin Withnall