What is the focus when treating a casualty with a compound fracture?

When treating a casualty with a compound fracture, the primary focus is on controlling bleeding, immobilizing the fracture, and preventing infection. A compound fracture, also known as an open fracture, involves a break in the bone that protrudes through the skin. This type of injury presents a high risk for significant bleeding due to the involvement of surrounding tissues and blood vessels, so controlling any bleeding is paramount initially to prevent shock and further complications.

Immobilization of the fracture is critical to avoid additional injury to the bone and surrounding soft tissue. Proper immobilization can also help reduce pain and make transport safer for the casualty. Preventing infection is another essential concern because the open wound allows for direct contamination with environmental pathogens, which can lead to serious complications.

While pain relief and swift transport are important aspects of patient care, these should come after addressing the critical life-threatening aspects of the injury—bleeding control, fracture stabilization, and infection prevention are fundamental steps that must be prioritized in tactical medicine. Applying heat is not appropriate in this situation, as it could exacerbate swelling and inflammation rather than providing meaningful relief.