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Trauma
intermediate
X-Type

Open Fracture Management

Open Fractures

A 32-year-old motorcyclist is brought to the emergency department following a collision. He has a 12cm laceration over his right leg with exposed bone and significant soft tissue stripping. The wound is contaminated with road debris. Regarding open fracture management:

Mark each as TRUE or FALSE

A

The Gustilo-Anderson classification grades open fractures from Type I (wound less than 1cm, minimal ...

B

Antibiotic prophylaxis should be administered within one hour of injury; first-generation cephalospo...

C

Surgical debridement can be safely delayed for up to 24-48 hours without increasing infection rates ...

D

Definitive soft tissue coverage for Type IIIB injuries should ideally occur within 72 hours to 7 day...

E

Tetanus prophylaxis should be administered according to immunization status; dirty wounds require te...

Answer the questions to see explanations

Click T (True) or F (False) for each option