Infection

• Depending on the site of trauma, the type of wound (open/closed, clean/dirty), and the need for surgery, prophylactic tetanus and antibiotic cover varying from 1 dose to 1-2 weeks may be needed.

• The trauma patient is at high risk of developing secondary infection, in particular chest, wound sites, intravascular catheter insertion sites, post-abdominal trauma, intra-abdominal abscesses. Preventive measures and strict infection control should be undertaken.

• Intravascular catheters inserted during emergency resuscitation under non-sterile conditions should be replaced.

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