omg! That bone's gotta be snapped in two!
Both bones. I saw that and went into EMT mode...
BSI - Check
Scene Safety - Depends on your definition
AVPU - Alert and screaming bloody murder
ABC - Airway Check, Start O2, Breathing Check, Circulation - has a pulse, no major bleeds
Tx decision - stay and play to splint his leg
Focused Exam: the bottom 3rd of his right leg is flopping around like a fish out of water. PMS on the distal extremity, immobilize joint above and below and dependent on PMS attempt to realigned break if necessary, PMS again.
Vitals and SAMPLE
Load on stretcher and go to hospital.
Do a detailed exam
Do a repeat of initial assesment
do a repeat of focused exam