Ambulance Victoria CPGS Practice Test

In the management of an open fracture, the recommended first step is to cover the wound with a sterile dressing. This is crucial because an open fracture involves a break in the bone that is exposed through the skin, creating a direct pathway for bacteria and potential contaminants to enter the body. By applying a sterile dressing, you create a barrier that helps reduce the risk of infection, which is one of the primary concerns in open fractures.

Additionally, covering the wound aids in controlling bleeding and protects the exposed bone and surrounding tissues. Following this intervention, other steps such as realigning the fracture or administering pain relief can be considered, but the priority is to secure the area against infection and further harm to the patient.

Addressing the wound first aligns with the principles of trauma care, where preserving life and preventing complications takes precedence before addressing other treatment aspects.