Breaking Bad Bones – AEME

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:

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

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Breaking Bad Bones