The incidence of tetanus infection is on the increase and A&E nurses must be able to recognise symptoms and identify high risk groups. PAUL NEWCOMBE describes the management of clinical tetanus and appropriate immunisation

Tetanus is a rare but fatal disease and immunisation against tetanus is a consideration when treating many A&E patients. This article explores the epidemiology, pathophysiology and management of clinical tetanus. It then discusses tetanus immunisation, including administration after injury and highlights those patients particularly at risk.