Open tibial fracture — DipIMC MCQ

Correct answer: E — Cover with a sterile dressing, splint the limb and give analgesia

Option E is correct because Open fractures need sterile covering, immobilisation, analgesia and timely transfer. Option D is less appropriate because watchful waiting risks deterioration or delays definitive care; option A is less appropriate because the clinical risk exceeds that destination or timeframe. Option B is less appropriate because it is plausible in a different scenario but suboptimal for the features described; option C is less appropriate because analgesia is important but not sufficient as the primary intervention. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.

Reference: JRCALC Guidelines