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Pt presents to ER with dirty wound, wound present for last 30 hrs,
pt had 3 doses tetanus 3 yrs ago

What will u do:

a) Td + TIG
b) TIG
c) Td
c) neither td nor TIG
bb
ans: b
neither td nor tig
neither tetanus nor toxoid----------100% correct answer
Ans: C

Td given if:
for dirty wound more then 24 hr or
for dirty wound with 3 or more doses of Td more then 5 yr ago
Harry 206,
Can u please explain the correct ans in respect to" Ans: C

Td given if:
for dirty wound more then 24 hr (what abt no of yrs since vaccination)or
for dirty wound with 3 or more doses of Td more then 5 yr ago
& Why not b.
Do we dont need to give TIG


Thanks
















ONLY INDICATION TO GIVE TIG IN TETANUS:

dirty wound AND less then 3 doses of tetanus given in past.

try to draw 2X2 table :
with wound dirty & clean on left side
and more then & less then 3 tetanus given in past

best way to remeber tetanus immunizn
Thanks Harry206
thanks harry, i didnt know the 24 hr thing. Is there any other indication for td depending on duration of wound
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