Harbor:Hip fractures
(Redirected from Hip Fractures)
- Low Energy Mechanism (ground level fall) ... only applies to hip, NOT pelvic or mid-shaft/distal femur 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 distal femur fracture: admit to Trauma with Ortho & Anesthesia consults