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Open tibial fracture — RCPSC EM MCQ

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ModerateTraumaOpen tibial fractureRCPSC EM

CTAS 2. A 44-year-old has a motorcycle-related open mid-shaft tibial fracture with gross contamination. Distal pulses are present, pain is controlled, and tetanus status is unknown. X-ray confirms a comminuted fracture. What is the most appropriate next step?

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Correct answer: C — IV antibiotics, tetanus prophylaxis, sterile dressing, orthopaedics

Open fractures need prompt systemic antibiotics, tetanus prophylaxis, sterile coverage, immobilization, and urgent orthopaedic assessment.

Reference: Canadian Orthopaedic Trauma Society resources; ATLS Student Course Manual