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Mu1 - Open fractures (Treatment (High energy fractures (Greatest soft…
Mu1 - Open fractures
Treatment
Stabilise fracture & manage soft tissues injuries
Prevent contamination
achieve rapid bone union & restore limb function
High energy fractures
Greatest soft tissue damage
Less resistance to infection
Slower to heal
ASAP
Clip wildley
Lavage copiously
Sterile saline
Tap water from a shower head
Debride all devitalised tissue
start open wound management
Management
Initial trauma
Avoid corticosteroids
Prevent further contamination
Immobilise & cover bone ends
AB therapy
Swab for C&S
Give ASAP
Surgery
Debride
Lavage
Fracture management
Discard small avascular fragments
Keep fragments that contribute to stability
+/- Bone graft
Soft tissue & skin management
Immediate first aid
Prevent further contamination
Cover open wounds
Clean/Sterile dressing
Control haemorrhage
Graded 1 - 3
Severity of soft tissue injury
Possibly an emergency