Harbor:Hip fractures

  • Low Energy Mechanism (ground level fall) ... only applies to FEMORAL NECK FRACTURES
    • High energy mechanism or intertrochanteric, subtrochanteric, mid-shaft/distal femur, or pelvic fractures: admit to Trauma with Ortho & Anesthesia consults
  • Age >/=65: Admit to IM/FM with Ortho & Anesthesia consults
    • Courtesy consult to Anesthesia for fascia iliaca block (should not delay admission process)
      • x65947 - Regional Block service 8a-4p weekdays
      • x65942 - anesthesiologist running the board
    • 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
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