Publication

Prehospital care in isolated neck of femur fracture: a literature review

O'Connor, Rory
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Keyword
Emergency Medical Services
 Analgesia
 Femoral Neck Fractures
 Acute Kidney Injury
 Femoral Fractures
Journal Title
Journal of Paramedic Practice
Book Title
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Publication Issue
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Publication End Page
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Publications - Northern Ireland Ambulance Service
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URI
http://hdl.handle.net/20.500.12417/1307
DOI
10.12968/jpar.2019.11.1.21
Abstract
Around 65 000 people experience a fractured neck of femur (NOF) each year in the UK. It is estimated that one in 10 patients with an NOF fracture will die within 1 month, and one in three will die within 1 year. The bill for NOF fracture, excluding substantial social care costs, is £1 billion per year. Given the exposure that ambulance services have to these patients, several aspects of NOF fracture care could be improved in the prehospital environment, which could also generate significant savings for the NHS. This article reviews the literature regarding NOF fracture care, and highlights aspects that affect ambulance services and prehospital care. A variety of these, including pain management, fast-track systems, fluid therapy and renal impairments, can be improved, but evidence specific to the prehospital environment is lacking. Abstract published with permission.
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