A 28-year-old man is brought after a motorcycle crash. He has open tibia deformity, BP 96/60, HR 128, and active bleeding from the leg wound. Distal

Question

A 28-year-old man is brought after a motorcycle crash. He has open tibia deformity, BP 96/60, HR 128, and active bleeding from the leg wound. Distal pulses are present after manual traction. What is the most appropriate initial management?

Accepted Answer

Control bleeding, give IV antibiotics, dress, splint, and call orthopaedics

Answer

Close the wound primarily in the ED

Answer

Delay antibiotics until operative cultures are taken

Answer

Discharge after reduction if pulses remain present

Answer

Apply a tourniquet despite controlled venous bleeding

Open tibial fracture — RCPSC EM MCQ

A 28-year-old man is brought after a motorcycle crash. He has open tibia deformity, BP 96/60, HR 128, and active bleeding from the leg wound. Distal pulses are present after manual traction. What is the most appropriate initial management?