Fractures
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ICD10 CODE: S00-T88
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 TREATMENT  | 
 LOC  | 
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 If polytrauma Assess and manage airways Assess and treat shock (see section 1.1.2) Closed fractures Assess nerve and blood supply distal to the injury: if no sensation/pulse, refer as an emergency Immobilise the affected part with a splint Apply ice or cold compresses Elevate any involved limb  | 
 
 
 
 
 HC2  | 
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 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  | 
 
 
 
 
 HC3  | 
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 Note Treat sprains, strains and dislocations as above Note Treat sprains, strains and dislocations as above  | 
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 Caution Do not give pethidine and morphine for rib fractures and head injuries as they cause respiratory depression  | 
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