Clinical case 2

A 68-year-old gentleman suffers a fall in his garden. His wife reports that saw him slip on a loose mat on the patio floor and impact his pelvis on the concrete path. He shows no evidence of a head injury.

SpO2 = 98%, RR = 12 breaths/min, HR = 70bpm, BP = 136/80, Temp = 36.2^oC

PMH: none

DH: none

He is complaining of severe pain to his hip and feels he cannot walk.

How might a fractured neck of femur look on examination of the patient?

In cases of a fractured neck of femur, adequate analgesia should be sought to be administered within how long of presentation to the emergency department?

A 68-year-old gentleman suffers a fall in his garden. His wife reports that saw him slip on a loose mat on the patio floor and impact his pelvis on the concrete path. He shows no evidence of a head injury.

SpO2 = 98%, RR = 12 breaths/min, HR = 70bpm, BP = 136/80, Temp = 36.2^oC

PMH: none

DH: none

His x-ray does not demonstrate any bony injury, however he still feels unable to mobilise beyond half a metre. From talking to his wife (who has no health issues and is independent of additional care) you learn that he has been having ‘quite a few falls’ in the past few months, and that his walk had become more of a 'shuffle' as of late.

Prior to his fall which category of the Rockwood score would this patient fall into?

What services might be of benefit to the patient in preventing further falls and meeting their additional care needs?