A child sustains a facial and intra-oral laceration from a fall on outdoor playground equipment. Beyond wound management, what additional consideration is required?

Correct answer: A. Tetanus immunisation status must be verified

• A. Correct. Any contaminated wound — particularly one sustained outdoors, involving soil, or with devitalised tissue — requires review of TETANUS immunisation status. If the primary series is incomplete or the last booster was more than 5 years ago for a dirty wound (10 years for a clean minor wound), a tetanus toxoid booster is indicated, with tetanus immune globulin added for high-risk wounds in inadequately immunised patients.
• B. Antifungal prophylaxis has no role in traumatic wound management.
• C. Transfusion typing is not required for an isolated soft tissue laceration.
• D. There is no antiviral indication for a traumatic laceration.