What immediate actions should be taken for a suspected ankle fracture or severe sprain in the field?

• A. Protect and immobilize the ankle, control bleeding if present, apply a splint, elevate if feasible, and transport
• B. Apply heat and massage, then walk to help loosen the joint
• C. Remove all equipment and continue play
• D. Delay immobilization until imaging is available

Answer: (A)

When a knee or ankle injury is suspected to be a fracture or severe sprain, the priority is to stabilize the injury and get the person safely to care. Protect and immobilize the ankle to prevent any movement that could worsen a fracture or dislocation. If there is bleeding, control it with direct pressure and dressings. Apply a rigid splint that immobilizes the ankle and extends to the foot and lower leg, using padding to prevent pressure points, and secure it so the ankle, foot, and leg stay in one position. Elevate the limb if feasible to help reduce swelling. Do not remove equipment that supports the ankle or continue play, and do not apply heat or massage or try to walk it off. Transport to medical care as soon as possible for professional assessment and imaging if needed.