“…However, meticulous wound cleansing and accurate fixation of fractures should be concluded at the earliest time possible. 26 The prophylactic use of antibiotics is ad- MAY 1965 vised in all patients with multiple injuries. Tetanus prophylaxis should also be carried out, but it may be wise to defer this until the patient's condition has been stabilized, lest an adverse reaction to the antitoxin or toxoid should complicate the initial problems.…”