In case of bilateral fractures, on which side should the splint be placed?

When dealing with bilateral fractures, the splint should be placed on the more painful leg side. This approach ensures that the most affected area is stabilized first, as it is likely to be the source of significant discomfort and potential instability. By addressing the more painful side, it helps to minimize further injury or movement that could exacerbate the condition.

The rationale behind focusing on the more painful leg is that pain often correlates with the severity of the injury. Stabilizing the more acute fracture can help manage pain effectively and prevent further complications. In emergency medical situations, prioritizing care based on observed symptoms—such as pain level—often leads to better patient outcomes.

Other factors, such as the dominant leg or the less painful leg, might not provide adequate support or stabilization required for managing bilateral fractures properly. Additionally, placing the splint on the non-injured leg side would not address the immediate needs of the patient, which could lead to increased pain and complications.