A young driver in his 30's met with a road traffic accident. He sustained a crush injury to his foot and fractured both his legs. He was managed by surgical debridement by a team of plastic surgeons. This was followed by negative pressure wound therapy, followed by flap coverage of the affected area
Bledding cntroling, fracture management, Immobilized in the most comfortable position, check blood flow and watch for sign and circulation loss... Antitenaus subcutan stat, Antibiotic broad spectrum IV stat, Transamine IV stat Painkillers stat, Send to x-ray Consult to orthopaedic and plastics surgeon