How do you manage an open fracture in an extremity during transport?

The appropriate management of an open fracture during transport involves stabilizing the fracture and covering the wound to prevent contamination. This approach is crucial because open fractures expose bone and soft tissue to the outside environment, increasing the risk of infection. By stabilizing the fracture, you help prevent further injury and reduce movement, which can cause additional damage to tissues and blood vessels.

Covering the wound effectively serves to protect it from dirt, bacteria, and other contaminants that could lead to infections and complications. Using sterile dressings or clean cloths is recommended for this purpose.

In contrast, leaving the fracture exposed for assessment can significantly heighten the risk of infection due to the exposure of vital underlying structures. Applying a tourniquet above the fracture site may be warranted in specific severe cases with life-threatening hemorrhage, but it is not the first line of management for all open fractures. Immobilizing the patient in a standing position is contraindicated for any injury requiring stabilization and can worsen the condition or cause further injury.