Emergency
Road Traffic Accident (Minor Trauma and Abrasions)
A patient who fell from a bike half an hour ago with abrasions on the shin and forearm. Examine vitals, clean the wounds, assess for head, chest, abdominal and bone injury, and give tetanus toxoid and analgesia.
- ICD-10
- —
- Source
- OPD handbook pp.158, 161
- Status
- Draft
Not yet reviewed by a clinician. Check doses and brands against current national guidelines before use.
Symptoms
- Fall from a bike (half an hour ago)
- Abrasion on the shin and forearm
Red flags Refer urgently if any are present
- Abnormal GCS or head injury
- Hit on the chest
- Bruise or tender abdomen
- Suspected bone injury
Diagnosis
- Examine vitals
- Wash all the wounds with spirit and pyodine
- Assess GCS level / head injury
- Advise chest X-ray if hit on the chest
- Advise USG abdomen if any bruise or tender abdomen
- Advise X-rays if bone injury is suspected
Treatment
Step 1 of 1
Main treatment (if the patient is stable)
- Inj TT (tetanus toxoid) IM stat
- Inj Toradol / Voren IM stat
- Tab Voren 50 mg 1+1 for 5 days
- Dressing of wound / topical antibiotic morning and evening for 5 days
- Follow up after 2 days
Prescription
Diclofenac sodiumNSAID
DoseInj IM stat; Tab 1+1 for 5 days
Brand Inj Voren / Tab Voren 50 mg
Also sold as Voren, Diclo, Dicloran
Fasil cream (generic not written in the book)Topical antibacterial (impetigo)
DoseApply on the wound morning and evening
Brand Fusil cream
5 days
Also sold as Fasil, Fusil
Sample prescription from the book (patient details removed)
- Male, 26 y, fall from bike half an hour ago, knee shows abrasion; GCS 15/15: Inj TT IM stat; Inj Toradol IM stat; wash the wound with a spirit swab and apply Fusil cream. Discharge: Tab Voren 50 mg 1+1; Fusil cream on the wound morning and evening; clean the wounds with Pyodine or spirit (Urdu note).