Major Trauma and hand lacerations

Question 1

Scoring systems used for major trauma?

Answer 1

Injury severity score

Question 2

Management of human and animal bites?

Answer 2

Cleanse wound.
Give co-amoxiclav.
Second line - doxycyline and metronidazole

Question 3

Classification of open fraactures?

Answer 3

Gustillo-Anderson Classification
Type 1 - low energy wound < 1cm.
Type 2 - 1 to 10cm wound.
Type 3 - > 10cm or high energy wound/
Type 3a - Adequate tissue for coverage.
Type 3b - Extensive periosteal stripping and requires flat.
Type 3c - Vascular injury requiring vascular repair.

Question 4

Complications of open fractures?

Answer 4

Soft tissue infection,
Osteomyelitis,
Tetanus,
Crush syndrome,
Skin loss,
Non-union,
Amputation.