Fractures
Red flags
- NOF fracture - time-critical: analgesia (femoral nerve block), surgery ideally <48h, delay independently raises mortality
- Vertebral fracture with new neurology - cord/cauda equina compression
- Fracture with disproportionately minimal trauma - pathological fracture (myeloma, metastasis) until excluded
- Compartment syndrome signs post-fracture/cast
- Fat embolism (long-bone fracture) - hypoxia, confusion, petechiae 24-72h post-injury
- Concurrent head strike, anticoagulation, or inability to weight-bear pre-injury (baseline function)
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