In which scenario should you splint an injured limb in the position of deformity?

• A. When distal circulation and neurological functions are absent.
• B. If transport time to the hospital is greater than 20 to 30 minutes.
• C. If a traction splint will be used to immobilize the injured extremity.
• D. If resistance is encountered or the patient experiences severe pain.

Answer: (D)

The main idea here is to avoid forcing a fracture or deformity back into alignment when it’s painful or resistance is felt. If moving the limb to straighten it would cause more pain or risk damaging nerves, blood vessels, or soft tissues, the safest approach is to immobilize the limb in the position it’s found. This minimizes further harm during transport and provides stable support for healing. Splinting in the deformity preserves existing tissue conditions and avoids exacerbating injury that could come from forcing realignment. The other scenarios don’t specifically indicate a safer approach to avoid movement; pain or resistance is the signal to keep the limb as is and immobilize.