Fall instructions for a patient using crutches specify which action first?

• A. First Release Crutches to Use Hands
• B. Turn Face to One Side
• C. Reach Toward Floor
• D. Flex Trunk and Head

Answer: (A)

Freeing the hands first is the best move because it immediately frees both arms to protect the head and upper body and to brace for impact. If you keep hold of the crutches, they can snag on the floor or wrap around you, increasing the chance of a fall that you can’t control. Once the crutches are released, you can use your hands to cushion the fall, tuck the chin to protect the face, and roll to a safer side. Turning the head or trunk or reaching toward the floor before letting go can complicate the fall and make it harder to regain balance, since the crutches remain in place and can become obstacles.