A 26-year-old man arrives as ESI 2 after a handgun injury to the forearm. There is a 2-cm wound with exposed bone, deformity, and intact distal

Question

A 26-year-old man arrives as ESI 2 after a handgun injury to the forearm. There is a 2-cm wound with exposed bone, deformity, and intact distal pulses. Vitals are stable. Which of the following is the most appropriate next step in management?

Accepted Answer

Administer IV antibiotics, tetanus prophylaxis, splinting, and urgent orthopedic consultation

Answer

Close the wound primarily without imaging

Answer

Apply a cast and arrange follow-up in 2 weeks

Answer

Start anticoagulation

Answer

Irrigate lightly and discharge on oral NSAIDs

Open forearm fracture — ABEM Board MCQ

A 26-year-old man arrives as ESI 2 after a handgun injury to the forearm. There is a 2-cm wound with exposed bone, deformity, and intact distal pulses. Vitals are stable. Which of the following is the most appropriate next step in management?