A 35-year-old male sustains a high-energy open tibial fracture (Gustilo-Anderson Grade IIIB) in a motorcycle accident. The wound is heavily contaminat...

Question

A 35-year-old male sustains a high-energy open tibial fracture (Gustilo-Anderson Grade IIIB) in a motorcycle accident. The wound is heavily contaminated with road debris. In addition to haemorrhage control, wound coverage, and splinting, what specific medication is time-critical?

Accepted Answer

IV antibiotics - ideally co-amoxiclav 1.2 g within 1 hour of injury per BOAST guidelines (administered in hospital; communicate urgency during handover)

Answer

Oral flucloxacillin 500 mg at the scene

Answer

Tetanus immunoglobulin at the scene

Answer

Topical antibiotic cream applied to the wound

Answer

IV tranexamic acid only

uk-dipimc MCQ (SBA): Open Fracture Antibiotic Timing

A 35-year-old male sustains a high-energy open tibial fracture (Gustilo-Anderson Grade IIIB) in a motorcycle accident. The wound is heavily contaminated with road debris. In addition to haemorrhage control, wound coverage, and splinting, what specific medication is time-critical?