Ortho Trauma · Ortho Skills (Real Life)

Q-1 · Open Fractures · trauma · A–E keys

A 28-year-old arrives 40 minutes after a motorcycle crash with a type IIIA open tibial shaft fracture. The wound is contaminated with road debris. Vital signs are stable. After a trauma survey, what is the first orthopedic-specific order that most changes infection risk?

• A.Hold antibiotics until intraoperative cultures return
• B.Give systemic antibiotics now, then plan urgent irrigation and debridement
• C.Apply a spanning external fixator in the trauma bay before any antibiotics
• D.Schedule definitive nailing first, then start antibiotics in the PACU