Q: The physician in the emergency room will ask for information surrounding the accident, past medical history and any medications the patient may already be taking. Although most open fractures are more obvious, if there is a wound in the area of the fracture, the physician will assume there is an open fracture. Before setting the bone or closing the wound, the doctor will start antibiotics and assess whether the patient needs a tetanus booster. If the patient has not had a tetanus booster within five years, one will be given. These measures are used to reduce the risk of infection and promote healing.  The doctor will start IV antibiotics to cover a broad spectrum of bacteria. Each type of bacteria is susceptible to different types of antibiotics. This method of delivery bypasses the gastrointestinal tract and delivers the medication to the cells more quickly. If the person does not remember when his last tetanus shot was, the doctor will err on the side of the caution and administer a shot. Although not painful when injected, a tetanus shot will be sore for up to three days. The standard medical treatment of an open fracture is surgery. From cleaning the wound in the operating room to stabilizing the bone and closing the area, the goal is to reduce infection, improve the potential for healing, and promote the functional restoration of the bone and surround joints.  Once in the operating room, the surgeon will use antibiotic solutions and saline to clean the wound of debris, pull out badly torn tissue and get the area ready to be stabilized and closed. The broken bone will be aligned with plates and screws used to stabilize the bone while it heals. The area will usually be closed with sutures or with staples if the area is in a large muscle group. These will need to be removed once the wound has healed. A cast or splint may be applied to stabilize the area. The cast may be removable so the wound can be attended or the area may be left open to air and an external stabilization device put in place. An external device uses pins through the leg attached to long stable bars on the outside to keep the area stable. The patient will not be allowed to use the joint below or above the break while the external stabilizer is in place. Individuals who experience an open fracture are at risk for complications from wound infection, tetanus infection, neurovascular injuries, and compartment syndrome. Infections can lead to a non-union of the fracture, meaning that the bones won’t heal together. This can lead to an infection in the bone and possible amputation. Infection rates vary. An open tibial (leg bone) fracture has the highest rate of infection, sometimes between 25 - 50%, which significantly affects healing and restoration of function. Infection can be as high as 20% in other severe cases. However, the shorter the amount of time between the injury and medical care, the less likely you are to experience infections.
A: Tell emergency personnel what they want to know. Expect prophylactic treatments, which means that the doctor will try to prevent infection. Expect surgical treatment. Expect possible complications from the injury.

Q: This is an easy trick that makes it look like you're moving a coin from your left hand to your right, and then making it disappear in your right hand. In reality, you'll keep the coin in your left hand the whole time while tricking your audience into thinking you moved it. Here's how you do it:  Hold the coin between the thumb and first two fingers of your left hand. Move your right hand towards the left, pretending to reach down to pick it up with your three middle fingers, while really letting it "drop" into the left hand. Pretend that you're holding it between the index finger and thumb of your right hand. Blow on "the coin" and open up your right hand, showing that it has disappeared. Reach your left hand toward your elbow and reveal the coin, making it look like that was where you made it disappear. This simple trick is called the "throw away" card trick. For this trick, you have to place the card in your hand, snap it, and make the card in the hand appear to have disappeared. Here's how you do it:  Hold your hand with the index and pinkie fingers up and the other three fingers touching each other, doing the old "Rock n' Roll" symbol. Place the card so the last inch or so (2.5 cm) tucks into the area between the middle and ring finger and thumb. Gently snap your fingers and straighten out your hand. The card will be clipped between the first and second finger and the third and fourth finger, and will appear to have disappeared. Just make sure you're facing the audience with your palm and they can't see the card on other side of your hand. If you get more skilled, you can practice bringing the card back and making it disappear again. All you need for this trick is a pencil and to wear a loose, long-sleeved shirt. This simple trick requires you to first hold a pencil by its edges with both of your hands and then make it look like it has disappeared into thin air. In reality, you'll be snapping the pencil to the side of one arm and then making it disappear down your sleeve. Here's how you can pull it off:  Hold the pencil's edges with your thumb, index, and middle fingers, turning your hands so the backs of your fingers face the audience. Apply a bit more pressure to the pencil with the fingers of your right hand, making the pen bend a bit toward your right inner wrist. Move your hands up and down a bit to create some movement. Appear to snap the fingers on your left hand, making the pen move so it is lying along the right wrist. Discreetly move the pen into the sleeve on the right hand, showing that the pen has disappeared. The faster you can do this, the more convincing it looks.
A: Make a coin disappear. Make a card disappear. Make a pencil disappear.

Q: If you try to use the cutting edge to deflect incoming blows, you may damage or chip the katana. Try to block the strike near the center of the katana so it lands along the sides or back of the blade where there’s thicker metal. Avoid blocking the strike with the last 1 foot (30 cm) of the blade’s pointed end since you may lose your balance or grip easier. Try to sidestep away from blows while you’re blocking so you can get out of the way of the attack. When you expect an attack from overhead or at an angle, hold your katana so your hands are about 1 foot (30 cm) above your head. Point the tip of the blade at a 45-degree angle to the ground in front of you so the strike slides off the katana more easily. Make sure the cutting edge faces down so you don’t damage the sword.  Keep the cutting edge perpendicular to the ground so it doesn’t point back at you. Place your nondominant palm against the side of the katana blade to help you support it, but be careful not to touch the cutting edge, or you could hurt yourself. Keep your wrists loose as you rotate the blade around so it’s easier to position correctly. Move your katana to the side where you’re expecting the strike, and turn the blade so the tip points to the ground and the cutting edge faces away from you. Lock your wrists and plant your feet firmly to prepare for the strike so the blade doesn’t move once it’s hit. Practice with a sparring partner so you can learn how to properly deflect hits.
A: Use the side or back of the blade to block incoming hits. Keep the blade at a 45-degree angle in front of you to block overhead strikes. Hold the blade upside-down to protect against low and side attacks.

Q: This is done using steps 1 - 4 in Method 1 (Changing the Screensaver).    It’s located towards the top-right of the Photos Screensaver Settings menu. This is done by clicking on the folder that contains photos you want to update your screensaver with.  This is done by clicking on the dropdown menu to the right of “Select a slideshow speed”.  This makes the photos appear in a random order. Your photos’ settings will be updated. The changes will be applied and your screen saver will be updated as a slideshow of personal photos.
A:
Open the Screensaver Settings menu. Click the dropdown menu under “Screensaver”. Click on Photos. Click Settings. Click on Browse. Add a folder to the Screensaver dropdown menu. Click OK. Set the speed at which photos appear. Click on your preferable speed. Check the “Shuffle pictures” box (Optional). Click Save. Click OK at the bottom of the settings menu.