Open Fractures - antibiotic prophylaxis

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Open fractures

  • Stop any bleeding by applying pressure
  • Clean open wound and cover with sterile dressing
  • Give Tetanus Toxoid if not fully vaccinated
  • Start antibiotic
    • Amoxicillin 500 mg every 8 hours
    • Child: 25 mg/kg every 8 hours (or 40 mg/kg every 12 hours)

If severe soft tissue damage

  • Add gentamicin 2.5 mg/kg every 8 hours 
  • Refer URGENTLY to hospital for further management