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Mon Sep 15 16:26:37 BST 2003

Short answer: Yes, reduce and transport - needs debridement anyhow!

Dr T C Hardcastle
MBChB(Stell); ATLS(I); FCS(SA); MMed(Surg)(Stell)
Consultant General Surgeon (Trauma and ICU)
Dept of General Surgery
University of Stellenbosch / Tygerberg Hospital
PO Box 19063, 7505

Snail Mail:
6 Rathgar Str
Oakdale Est. 7530

E-mail: tch at sun.ac.za
Cell: +2782-468-1615
Office: +2721-938-9281
Home: +2721-9498170

-----Original Message-----
From: Bjorn, Pret [mailto:pbjorn at emh.org]
Sent: Friday, September 12, 2003 2:21 PM
To: Trauma-List (E-mail)
Subject: Open Fracture Question

Looking for the latest wisdom, as I may not be current:

At the scene of injury, EMS identifies an open extremity fracture with no distal circulation.  Should the medic attempt reduction to improve perfusion?  

Assume a dirty wound, and a time-to-orthopod of up to 4 hours (arbitrary, but meant to reflect our rural climes).

Pret Bjorn
Trauma Coordinator
EMMC Trauma Program
489 State Street
Bangor, ME 04401

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Open Fracture Question