Tibial Shaft Fractures · trauma

You are handing off a closed high-energy tibial shaft fracture scheduled for nailing in the morning. Which line belongs in the sign-out every time?

• ACompartment exams — times, pain with stretch, and that pulselessness is not the early finding
• BHold all analgesia so the patient can “declare”
• CStart the nail without discussing open-fracture status — the skin looks fine from the door
• DAccept any alignment because IM nails correct rotation automatically