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