Harbor:Hip fractures: Difference between revisions
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*Low Energy Mechanism (ground level fall) ... '''only applies to | *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 | ** 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) | *** Courtesy consult to Anesthesia (65942 after 6p) for fascia iliaca block (should not delay admission process) | ||
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** <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 | ||
** <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 | ** <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 | *'''High energy mechanism or intertrochanteric, subtrochanteric, mid-shaft/distal femur, or pelvic fractures: admit to Trauma with Ortho & Anesthesia consults''' | ||
[[Category:Admin]] | [[Category:Admin]] | ||
Latest revision as of 23:37, 25 November 2025
- 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
- Age >/=65: Admit to IM/FM with Ortho & Anesthesia consults
- High energy mechanism or intertrochanteric, subtrochanteric, mid-shaft/distal femur, or pelvic fractures: admit to Trauma with Ortho & Anesthesia consults