Ok, stupid questions incoming from new EMT. I understand the importance of realigning deformed extremities, but my understanding on the exacts of some situations elude me - obviously baring that almost every situation will be different. So i'm just looking for some general guidelines. Lets say you have open Tib/Fib fracture as the only injury/complaint/finding. (make up a funny story Minimal bleeding, cms intact - best case scenario to you. You and your partner attempt manual traction and the bones slip back into alignment. You splint the injury and everything is fine all the way to transfer of care. But what if it's not? Using that same tib/fib example, along with most other open long bone fractures, what if as you are applying traction the bones do slip back into place, but they are now in such a way that they are cutting/damaging surrounding tissue? - Almost like a traction splint that you just "release tension" on after all that work. The PT screams in pain, you are obviously doing more harm then good, bleeding is increasing in severity. Do you stop traction and splint in place? What about open fractures where the entire foot lets say, is only holding on by thin muscle, skin and fat? - Do I just kinda "put it back" and splint in some form or another in place?!? Anyone see what i'm talking about here? If anyone has any common sense/experience/knowledge towards this topic please help!