AKT-3401

You are working in the urgent care centre, where John, a 44-year-old man comes to see you with a laceration to his right lower leg. He explains that 2 hours ago he was using a sharp tool to cut wood when it slipped and hit deep into his foot.

On examination, there is a 6 cm laceration on the lateral aspect of John’s right lower leg which is 4 cm deep. There is a lot of sawdust visible inside the wound.

John is unsure about his tetanus immunisation history and there is no further information about this in his records.

What is the most appropriate option to manage John’s wound with regards to tetanus prophylaxis?