When managing an open fracture, what is the priority while awaiting transport?

The priority when managing an open fracture while awaiting transport is to control bleeding. In an open fracture, the bone has broken through the skin, which increases the risk of significant bleeding due to the injury to both the bone and the surrounding soft tissue, including blood vessels. Controlling bleeding is critical because uncontrolled hemorrhage can lead to shock and other severe complications.

By applying direct pressure to the wound or utilizing a tourniquet, if necessary, you can manage this bleeding effectively. Once bleeding is under control, other assessments and interventions, such as checking for distal pulses or stabilizing and immobilizing the limb, can follow. However, securing hemostasis takes precedence to ensure the patient’s stability during transport to a medical facility.