Outcome of reduction of paediatric forearm fracture by emergency department clinicians

Author:

Gursanscky Jared1ORCID,Kelly Anne‐Maree23ORCID,Hamad Ahmad4,Tagg Andrew1,Klim Sharon2,Ritchie Peter1,Law Ian1,Krieser David1ORCID

Affiliation:

1. Western Health Melbourne Victoria Australia

2. Joseph Epstein Centre for Emergency Medicine Research Western Health Melbourne Victoria Australia

3. Department of Medicine ‐ Western Health, Melbourne Medical School The University of Melbourne Melbourne Victoria Australia

4. School of Medicine The University of Melbourne Melbourne Victoria Australia

Abstract

AbstractObjectivesPaediatric forearm fractures are common. Anecdotally, there is a trend towards ED reduction of selected fractures under procedural sedation. We aimed to determine the rate of subsequent operative intervention for fracture re‐displacement.MethodsRetrospective observational study of children with a forearm/wrist fracture undergoing fracture reduction in ED. Outcome of interest was operative intervention for fracture re‐displacement within 6 weeks.ResultsAmong 176 patients studied, operative intervention occurred in nine patients (5.1%, 95% confidence interval 2.7–9.4%).ConclusionReduction of paediatric forearm fractures under procedural sedation by ED clinicians is increasingly common and results in a low rate of subsequent operative intervention.

Publisher

Wiley

Subject

Emergency Medicine

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