Free practice question 7 of 20 · Trauma
An original single best answer question in the style of the FRCS (Tr & Orth) Section 1 paper, with the answer and a referenced explanation. Pick an answer to reveal it, then rate how sure you were.
A 28-year-old motorcyclist has bilateral closed femoral shaft fractures and bilateral pulmonary contusions. After six units of red cells his blood pressure is 95/60 mmHg, temperature 34.6 °C, lactate 4.6 mmol/L and platelet count 85 × 10⁹/L.
What is the most appropriate management of his femoral fractures in the next few hours?
Topic guide
Trauma: what the exam tests
Syllabus coverage, high-yield themes and the common traps.
Free article
Open fractures: the BOAST standard, timings and the Gustilo–Anderson classification
The BOAST open fracture standard for FRCS (Tr & Orth): antibiotics within an hour, debridement at 12 or 24 hours, cover within 72 hours, and Gustilo–Anderson grading.
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