Signs and symptoms of a fracture include severe-to-moderate pain, swelling, redness, bruising, deformity or loss of normal function, tingling or grating sensation in the injured area. 

Shock is a normal response.

An open wound with bone present requires immediate emergency assistance by calling Triple Zero (000) for an ambulance, as below. 

1. If bleeding and/or a protrusion is present, apply padding around the wound and a sterile dressing loosely over the open site but no direct pressure

2. Call Triple Zero (000) for an ambulance

3. Sling or splint the limb if patient is agreeable

4. Help patient into the most comfortable position with the least amount of movement

5. Manage shock: loosen tight clothing, maintain body heat, do not give food or fluids, give frequent reassurance.

6. Even if pain is mild, a fracture should always been seen by a medical practitioner