Harbor:Hip fractures: Difference between revisions

Revision as of 23:34, 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
High energy mechanism or distal femur fracture: admit to Trauma with Ortho & Anesthesia consults

Authors:

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-*Low Energy Mechanism (ground level fall) ... '''only applies to hip, NOT pelvic or mid-shaft/distal femur 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)