Breaking Bad Bones

CotEcast #6 - Shownotes

*Apologies for slight noise/feedback issues in this episode - it was due to a technical issue that has now been resolved*

Title: Breaking Bad Bones

Host(s): Mark/Pete

Guest(s): Iain Wilkinson, Francis Collin

Opening Question: What is your biggest pet hate when watching medical dramas?

Main Topic: Orthogeriatrics

Discussion Points:

Overview of orthogeriatrics (what is it, why is it needed, evidence?) National targets - Blue book (2007) All patients with hip fracture should be admitted to an acute orthopaedic ward within 4 hours of presentation All patients with hip fracture who are medically fit should have surgery within 48 hours of admission, and during normal working hours All patients with hip fracture should be assessed and cared for with a view to minimising their risk of developing a pressure ulcer All patients presenting with a fragility fracture should be managed on an orthopaedic ward with routine access to acute orthogeriatric medical support from the time of admission All patients presenting with fragility fracture should be assessed to determine their need for antiresorptive therapy to prevent future osteoporotic fractures All patients presenting with a fragility fracture following a fall should be offered multidisciplinary assessment and intervention to prevent future falls What would an ideal service look like? Biggest annoyances/areas for improvement

CotEcast commandments:

Treat hip fracture as a medical emergency Bring the clinical team together Take a proper falls history

References, Links and Resources:

Blue Book National Hip Fracture Database Fascia Iliac Block Training (via BGS blog) Closure those taking issues with 'Scrubs' opening sequence (thanks to @GerisJo for the link)

Twitter Usernames:

AEME: @ElderlyMedEd Mark: @garside80 Pete: @petebrock7 Iain: @geriatricsdoc

Email cotecast@aeme.org.uk with comments, questions, suggestions