Open Fracture
Protocols
Clinical Features:
- Blunt Trauma over (Site)
- H/0 fall from Height
- H/O Road Traffic Accident (RTA)
- H/O Physical Assault
- Swelling/ Pain/ Deformity of affected site.
- Associated (Abration/ Laceratio/ Bruise)
Investigation:
- Blood Grouping & Rh Typing
- RB
- S. Creatinine
- X-ray of Affected site (B/) including adjacent joint.
If Pain 0T: Add others investigation:
- Chest X-ray P/A view
- ECG
- Echocardiography (if abnormal ECG/old age)
Rx:(Indoor)
- Diet: Normal/ Liquid
- Bed Rest
1. Inf. H/S(2L)
- IV stat @20 d/min
2. Inj. Ceftron 2gm(Ceftriaxone)
- 1 vial IV stat & Daily
3.Inj. Rolac 30mg(Ketorolac)
- 1 amp /M stat & TDS
4. Inj. Esotid 40mg (esomeprazole)
- 1 vial /M stat & BD
5. Blood Transfusion (if Haemorrhage/ Anemia)
If femur / Pelvis Fracture: 2-3 unit required.
1. Tab. Rivotril 0.5(Clonazepam)
- 0-+0+1
2. Elevated Effected Limb.
If Localized Swelling:
Tab. Kontab
- 2+2+2 or 1+1+1 (B/M).......5-7 days.
Or
Tab. Frulac 20
- 1+1+0....5-7 days.
Back Slab
If Bronchial Asthma/ PUD: Use centrally acting analgesic:
Inj. Anadol 100mg. (1 amp l/M TDS)
If Severe Pain:
Inj. Nalbun-2, (1 amp \/M BD/ SOS)
Inj. Vergon-2, (1 amp /M with Nalbun)