A patient presents with a deformity of the left wrist after a fall. They refuse to move due to pain. What is the most appropriate intervention?

Applying a splint and elevating the extremity above the level of the heart is the most appropriate intervention in this scenario. This approach helps to stabilize the wrist and prevent further injury while alleviating swelling, which is critical in the initial management of a suspected fracture or severe sprain. Elevation can decrease edema by promoting venous return, and immobilization through splinting protects the area from unnecessary movement, which can exacerbate pain and potential injury.

In cases where a patient presents with deformity and significant pain, it is crucial to first stabilize the injury before considering other interventions. While administering pain medication may address discomfort, it does not prevent further damage nor provide the necessary support to the injured site. Similarly, encouraging range of motion could lead to further pain and injury, as the patient is already hesitant to move their wrist due to pain. Referring for surgical evaluation may be necessary later, depending on the findings after initial assessment, but the immediate focus should be on splinting and elevation for proper stabilization and symptom management.