Prehospital care in isolated neck of femur fracture: a literature review
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Keyword
Emergency Medical ServicesAnalgesia
Femoral Neck Fractures
Acute Kidney Injury
Femoral Fractures
Journal title
Journal of Paramedic Practice
Metadata
Show full item recordAbstract
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.ae974a485f413a2113503eed53cd6c53
10.12968/jpar.2019.11.1.21
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