Emergency Department Clinical Pathway for the Evaluation/Treatment
of Children with Suspected Open Long Bone Fracture
Transfer from Outside Hospital
Recommend IV antibiotics and tetanus prophylaxis prior to transfer
ED Team Assessment
- Assess Neurovascular Status
- Upper Extremity
- Lower Extremity
- Compartment Syndrome
- Immediate Orthopaedics consult
for neurovascular concerns
- IV Access
- Pain Control
- Imaging
-
Antibiotic Recommendations
- Aim to administer within 1 hour of ED arrival
Open Fracture Classification Typing
Ortho to determine Fracture Type
- ED Care
- Sedation
- Neurovascular assessment
- Irrigation
- Reduction (if needed)
- Splint application
- Ortho consults with Plastic Surgery
-
Ortho or Trauma to Consult:
- Lower Extremity — Vascular Surgery
- Upper Extremity — Ortho Hand
To OR with Ortho
Admit to Ortho Service
Consider Admission to Trauma Service if other injuries present
Consider Admission to Trauma Service if other injuries present
Schedule OR
