Open Fractures

Examiner's Answer's
In the Emergency Department, what general principle would you use to manage this patient? (2 marks) 

A) - Advanced Trauma Life Support (ATLS) 

B) What is the diagnosis based on X-ray and clinical picture? (3 marks) 

- Open (1 mark) comminuted fracture (1 mark) of tibia and fibula (1 mark) 

- Comminuted fracture (1 mark) 

- Tibia and fibula fractures (1 mark) 

C) What needs to be done in the Emergency Department in the initial management of this patient? List 5. (5 marks) 

- Photograph wound 

- Cover wound with saline gauze 

- Splint the fracture 

- Administer anti-tetanus toxoid 

- Administer antibiotics 

- Inform consultant 

(Any 5, 1 mark each

Gustilo Classifictions

----------Students Answers------------------------

Gustilo and Anderson Classification

Glasgow Coma Scale/Score (GCS) - MDCalc 

The Glasgow Coma Scale/Score (GCS) estimates coma severity based on Eye (4), Verbal (5), and Motor (6) criteria.

and get the history (AMPLE)

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