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Local management – simple fracture — RACP Paediatrics MCQ

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EasyEmergencyLocal management – simple fractureRACP Paediatrics

A 10-year-old has a simple forearm fracture in a regional hospital with orthopaedic capability. The fracture requires reduction under sedation and casting. The child is otherwise well. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Treat and keep locally

A simple forearm fracture that can be managed with reduction and casting should be treated locally when orthopaedic and sedation capability exists. Not every paediatric condition requires tertiary hospital transfer. Appropriate local management avoids unnecessary transfer, family disruption, and healthcare costs. Clear guidelines about what can be managed locally vs what requires transfer are important.

Reference: RACP Paediatric Curriculum – Emergency; RCH Melbourne – 2023