The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. People with complex fractures, their families and carers.Healthcare professionals and practitioners who provide care for people with complex fractures in pre-hospital and hospital settings.documentation, and information and support for patients, family members and carers.management of pilon and intra-articular distal tibia fractures in hospital settings.managing pelvic fractures and open fractures in hospital settings.assessing and managing vascular injury in hospital settings.destination for people with suspected fractures.managing pelvic fractures and open fractures in pre-hospital settings.This guideline includes recommendations on: In November 2022, we reviewed the evidence on negative pressure wound therapy and updated the recommendation on temporary dressings for open fractures after wound excision. The guideline should be read alongside the NICE guidelines on major trauma, major trauma: service delivery, spinal injury and fractures (non-complex). ![]() It aims to reduce deaths and long-term health problems by improving the quality of emergency and urgent care. This guideline covers assessing and managing pelvic fractures, open fractures and severe ankle fractures (known as pilon fractures and intra-articular distal tibia fractures) in pre-hospital settings (including ambulance services), emergency departments and major trauma centres.
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