View source for Harbor:Hip fractures

*Low Energy Mechanism (ground level fall) ... '''only applies to FEMORAL NECK FRACTURES, NOT intertrochanteric, subtrochanteric, mid-shaft/distal femur, or pelvic fractures'''
** Age >/=65:  Admit to IM/FM with Ortho & Anesthesia consults
*** Courtesy consult to Anesthesia (65942 after 6p) for fascia iliaca block (should not delay admission process)
*** Any ED faculty comfortable placing a fascia iliaca block may perform it PRIOR to Ortho evaluation of the patient
** <65 without ACTIVE medical issues (medical co-morbidities requiring active management):  Admit to Ortho with Anesthesia consult
** <65 with active complicating medical conditions:  Trauma has right of refusal; if cleared by Trauma, admit to IM/FM;  Anesthesia consult regardless of admitting service
*'''High energy mechanism or intertrochanteric, subtrochanteric, mid-shaft/distal femur, or pelvic fractures: admit to Trauma with Ortho & Anesthesia consults'''

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