Prehospital Trauma Life Support (PHTLS) Practice Test 2025 – All-in-One Resource to Ensure Exam Success!

For an open fracture in a trauma patient, controlling bleeding and stabilizing the fracture with splinting is a critical first step in managing the injury effectively. Open fractures expose the bone and surrounding tissue, increasing the risk of infection, and may also lead to significant bleeding. Therefore, controlling any bleeding is paramount to prevent further complications.

Stabilization through splinting helps to minimize further movement of the fracture site, which can alleviate pain, reduce the risk of additional injury to soft tissues, and improve blood flow by preventing further displacement of the bone. Proper splinting can also prepare the limb for transport to a medical facility where definitive care can be administered.

While applying a tourniquet may be necessary in cases of life-threatening hemorrhage, it is not the immediate priority for an open fracture unless there is severe, uncontrolled bleeding that poses a risk to the patient's life. Administering pain medication is also important for patient comfort but must often wait until after the initial life-threatening issues are addressed. Finally, immobilizing the limb without assessing circulation can lead to serious complications, such as compartment syndrome or worsening of blood flow issues, as circulation must be monitored continuously in the presence of an open fracture. Thus, the focus on both controlling bleeding and stabil