Harbor:Hip fractures: Difference between revisions

No edit summary
No edit summary
Line 1: Line 1:
*Low Energy Mechanism (ground level fall)
*Low Energy Mechanism (ground level fall)
** Age >/=65:  Admit to IM/FM with Ortho & Anesthesia consults
** Age >/=65:  Admit to IM/FM with Ortho & Anesthesia consults
*** Courtesy consult to Anesthesia (23335 daytime, 23337 after 6p) for fascia iliaca block (should not delay admission process)
*** 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
*** 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 without ACTIVE medical issues (medical co-morbidities requiring active management):  Admit to Ortho with Anesthesia consult

Revision as of 09:47, 22 October 2023

  • Low Energy Mechanism (ground level fall)
    • 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 distal femur fracture: Trauma with Ortho & Anesthesia consults