Perform and document a neurovascular examination by testing capillary refill/pulses and sensation and immediately address any deficit
Carefully inspect the skin for:
Wounds that may indicate an open fracture
Tenting of the skin over a displaced fracture
Devitalized skin that may necrose
Common fracture findings (e.g., swelling, ecchymosis)
Less common fracture findings (e.g., deformity, fracture blisters)
Palpate for point tenderness
Briefly evaluate nearby joints and structures
Be alert for signs and symptoms of compartment syndrome, including early symptoms such as disproportionate pain