open fracture dislocation of distal tibia

Question 1

patient with open fracture and medial displacement of distal tibia , open laceration of mid posterior calf ,what are the 3 priorities in assessment of this patient ?

Answer 1

1- assess for other life threatening and spinal immobilisation
2-airway assessment
3- distal neurovascular status of affected limb

Question 2

MX priorities for this limb injury

Answer 2

1- analgesia /procedural sedation.
2- urgent reduction of fracture -dislocation
3- irrigation of wound with copious normal saline
4-immobilisation with back slab/u slab
5- IVAB cefazolin 5 gm + ADT 0.5 ml IM