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The most important time after injury is the first 24 hours, in this
time the tissues are bleeding and blood is collecting in the surrounding
areas causing damage to the tissues in these areas and can prolong an
injury. By reducing the bleeding you can minimise the extent of an injury.
You can do this by following the RICE advice/protocol.
R- Rest. This all important stage is often underestimated. Most
injuries that result in the damage of soft tissue should be rested completely
for the first 24-48 hours to avoid increasing bleeding into the area
and allow the healing process to begin without further irritation. In
a severe injury this means using crutches or a brace for leg injuries
or a sling for the arm. For a severe back injury 24 hours bed rest may
be beneficial.
I- ice. Ice is recommended for the first few days following
injury. Ideally use crushed ice in a plastic bag with a little water,
always place a damp towel between the ice and your skin, and apply for
5-10 minutes every 1-2 hours.
C- Compression can be applied to the injured area using a bandage.
Compression reduces bleeding and swelling.
E- Elevation reduces pressure in the affected limb and therefore
reduces the collection of fluid in the damaged area. The injured leg
should be raised above the hip. The arm can be raised using a sling
or cushion.
Avoid alcohol during the early stages following an injury as this can
cause increased bleeding following injury.

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