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Open tibial fracture from farm injury — ACEM Fellowship MCQ

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ModerateTraumaOpen tibial fracture from farm injuryACEM Fellowship

A 52-year-old man presents to a regional ED, triage category 2, after a cattle-yard crush injury. He has an open mid-tibial fracture contaminated with soil. BP 124/76, HR 104, distal pulses are present and tetanus status is uncertain. What is the most appropriate management?

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Correct answer: E — IV antibiotics, tetanus prophylaxis, splinting and urgent orthopaedic care

Open contaminated fracture requires early IV antibiotics, tetanus prophylaxis, splintage and urgent orthopaedic involvement.

Reference: Australian orthopaedic trauma guidance; ACEM trauma curriculum