A 25 year old man met with an accident 8 hours ago. There is a contaminated wound present on right leg along with right arm fracture. Patient has history of complete tetanus immunization 13 years back. what is the next step?
High-Yield Explanation
In above given case, there is a contaminated wound and h/o complete tetanus course is 13 years back(CATEGORY C), so we should give a single dose of tetanus toxoid and Human tetanus immunoglobulin. CATEGORY Clean wound <6H Other wounds A) CC < 5 years nothing nothing B) CC 5-10 years 1 dose TT 1 dose TT C) CC > 10 years 1 dose TT 1 dose TT + TIG D) NOT CC unknown Complete course TT Complete course TT + TIG