Patient information leaflets on hip fractures should be available for patients, relatives and carers.51 ...
Patient information leaflets on hip fractures should be available for patients, relatives and carers.51
Patient information leaflets on hip fractures should be available for patients, relatives and carers.51
For patients with complex trauma, including spinal cord injuries and traumatic brain injury, there should be rapid access to key professionals and regional specialists.39 Patients, relatives and carers should be directed to appropriate support groups where relevant e.g. the Spinal Injuries Association.102
Enhanced Recovery Programmes for patients undergoing primary arthroplasty surgery should provide comprehensive details of the patient journey including MDT led hip and knee school and expectations in terms of early mobilisation postoperative physiotherapy. Information provided should be comprehensive and include details of regional anaesthesia.
Informed consent may not be possible for many patients undergoing hip fracture and major trauma surgery, owing to delirium, dementia, altered conscious level, severe pain or the effects of sedative drugs. Patients should not be asked to sign a consent form if they do not have capacity to do so. Standard operating procedures must be compliant with the Mental Capacity...
Early communication with patients and their families is essential. On occasions, explanations and detailed discussion should be deferred or delegated to others, so that emergency treatment can proceed without delay.
When it is considered appropriate for a do not to attempt resuscitation in the event of a cardiopulmonary arrest (DNACPR) order, it should be discussed with capacitous patients, including those who have expressed their own wish not to be resuscitated.106,107 In patients not capacitous to consent, every attempt should be made to discuss this with next of...
A triage tool, similar to that developed by the American College of Surgeons, should be used to identify patients with suspected major trauma prehospital.35
Triage positive patients should be sent directly to an MTC if the travelling time is <60 minutes (or 45 minutes if agreed by the trauma network), unless there is an imperative to go to a closer TU for the immediate management of a life threatening condition.35
The separation of clinical and non-clinical recyclable waste should be considered.21
Triage positive patients should not be taken to a local emergency hospital (LEH), in other words an acute hospital not accredited as a TU or MTC.35