A 32-year-old woman sustains an open fracture of the tibia in a farm accident. The wound is contaminated with dirt. What is the most appropriate immediate management step in the emergency department?AApply a plaster cast and discharge with oral antibioticsBThorough irrigation and debridement, intravenous broad-spectrum antibiotics and urgent orthopaedic consultationCDelay antibiotics until operative fixationDClose the wound in the emergency department with suturesEApply topical antiseptic only and arrange review in a weekCheck my answer