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EM CasesLimb and extremity trauma

EM Cases · Limb and extremity trauma

Open fracture and threatened limb — resus station

ACEM Fellowship resus OSCE on Gustilo antibiotics, hard signs, compartment syndrome and documentation.

resus1 min readVerification in progress

Target exams

ACEMFRCEMABEMFRCPCEBEEM
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Study tools

Target exams

ACEMFRCEMABEMFRCPCEBEEM
Prompt
Motorcycle crash: open tibial fracture, tense calf, weak distal pulse.

Station brief

Format. Clinical-management (resus) station, 11 minutes.

Emergency Medicine Pro

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You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Emergency Medicine fellowship library.

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References2ShowHide
  1. [1]Gustilo RB, Mendoza RM, Williams DN. Problems in the management of type III (severe) open fractures: a new classification of type III open fractures. J Trauma, 1984.PMID 6471139
  2. [2]FLOW Investigators, Bhandari M, Jeray KJ, et al. A Trial of Wound Irrigation in the Initial Management of Open Fracture Wounds. N Engl J Med, 2015.PMID 26448371
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