Open fx

Question 1

What is the most immediate treatment for an open fx

Answer 1

Antibiotics

Question 2

Describe the antibiotics used in different open fx

Answer 2

• Gustillio type I: Ancef
• Type II: Ancef
• Type III: Ancef + Gentamycin
• Fx involving farm dirt or bowel: Add PCN G for anaeroblic coverage (clostridium)

Question 3

During and I and D (irrigation and Debridement) what are the 4 factors you look for to see if muscle is still viable

Answer 3

• 4 C’s
• Color (pink)
• Capacity to bleed
• Contractility
• Consistency

Question 4

during an I and D, after debridement, the wound is irrigated with what

Answer 4

3L of NS

Question 5

Describe the Gustillo classification of open fx

Answer 5

-Type I: < 1 cm
-Type II: 1-10 cm
-Type III: > 10 cm, segmental, severely comminuted
A: Local skin coverage
B: required rotational/free flap
C: vascular injury requiring repair