With a potential ankle fracture should you keep the shoe on until ems arrives. it appeared fx since she was c/o numbness in toes.

Not necessarily: Might be hard to remove the shoe due to pain. It doesn't make much difference clinically whether or not the shoe is on unless there is an extraordinary amount of swelling. Ems will have scissors that can cut through the shoe if it's hard to remove. Numbness in the toes is also not a definitive clinical indicator of a fracture.

Ankle Fracture: With a possible ankle fracture, any motion of the foot or ankle could cause the fracture segments to move. This movement could potentially cause more damage to the area including blood vessels and nerves. I would recommend waiting for ems in this situation.

Leave on: If ankle fracture is in good alignment it is best to keep shoe on for taking shoe off may displace fracture. Important to elevate limb on pillows and ice behind knee. Numbness in toes may be due to swelling unless alignment off and putting pressure on nerves. Keep foot and ankle straight until help arrives. Good luck.