What is the mnemonic used for first aid of sprains?

Appeared in: DSSSB - 28 August 2019 (Shift-1)

Explanation

PRICE is the current, evidence-based mnemonic for the initial management of acute soft tissue injuries like sprains.
The acronym stands for Protection, Rest, Ice, Compression, and Elevation.
It is considered more comprehensive than the older RICE mnemonic because it includes the critical first step of 'Protection' to prevent further injury.
Following the PRICE protocol helps to control pain, reduce swelling, and facilitate a faster recovery.

Option A: ROSE is not a standard or recognized mnemonic for the first aid management of sprains.
Option B: PUSH is not a standard or recognized mnemonic in the context of first aid for sprains.
Option C: RICE (Rest, Ice, Compression, Elevation) is an older mnemonic. While its components are correct, it is incomplete as it omits the crucial first step of 'Protection'.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain First aid management for sprains as background academic context rather than a clinical decision trigger.
Nurses play a key role in educating patients, athletes, and parents on the correct first aid for sprains to prevent complications and promote healing.
Proper application of the PRICE protocol can significantly reduce recovery time and the risk of chronic instability or pain.
What if? If the patient reports hearing a 'pop' at the time of injury, has a visible deformity, or is unable to bear any weight, the injury may be a fracture instead of a sprain. In this case, the priority is to immobilize the limb and seek immediate medical evaluation, rather than just applying PRICE.

How to Approach the Question

First, identify the core of the question, which is asking for the first aid 'mnemonic' for 'sprains'.
Scan the options provided: ROSE, PUSH, RICE, PRICE.
Recall or deduce the common acronyms related to injury management. RICE and PRICE are both known protocols.
Compare RICE and PRICE. Recognize that PRICE includes all the elements of RICE plus 'Protection'.
Conclude that 'Protection' is a critical first step to prevent worsening the injury, making PRICE the more complete and current standard of care.
Therefore, select PRICE as the best answer among the choices.

Concept Tested & Keywords

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E6 Nelson Textbook of Pediatrics(2024) — Volume 2 pp. 2108-2110, 2122-2124

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