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
Download or listen to this episode online now!
Breaking Bad Bones