Jame's a 12-year-old boy, lost control of his trail bike while riding on a course that he and some friends con- a vacant lot. He flew over the handlebars into the dirt onto his left arm. His arm is broken, anc is sticking out through the skin. Immediate first aid included stabilization of the wound with a pressure due to bleeding and immobilization of the wound with a splint. It is 10:00 a.m stnu is broken, and the lames has sustained a traumatic injury to his left 10 am.

James was immediately taken to the Urgent Care Center. It is determined that James will need surgical treat- ment and will be transferred by ambulance to the nearest hospital, which is 150 miles away. The surgery is scheduled for 4:00 p.m. How will the surgical wound be classified? Why?

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