Hip fracture management scenario: recommended transport method?

• A. Place onto a scoop stretcher, pad around hip with pillows, and secure to scoop
• B. Place her onto a long backboard with pillows around her left hip
• C. Apply a traction splint
• D. Transport without immobilization

Answer: (A)

When transporting a patient with a suspected hip fracture, the priority is to minimize movement at the hip and keep the area immobilized to reduce pain and prevent further injury. Placing the patient onto a scoop stretcher and padding around the hip provides stable support for the fracture site while allowing careful transfer without rolling or twisting the spine. Securing the patient to the scoop prevents shifting during transport, which helps maintain alignment and comfort on the ride to care.

The other approaches are not as appropriate. A long backboard tends to be uncomfortable and can worsen pain, especially in an elderly patient, and it may contribute to skin injury or respiratory strain during longer transports. A traction splint is designed for certain femur shaft fractures and is not indicated for a hip joint fracture, where it could cause additional pain or misalignment. Transporting without immobilization would let the fractured hip move, increasing pain and the risk of further injury.