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Suspected neck of femur fracture — DipIMC MCQ

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EasyPre-Hospital Trauma ManagementSuspected neck of femur fractureDipIMC

A 72-year-old woman falls from standing and has severe hip pain with external rotation of the leg. She is normotensive, has oxygen saturations of 95% on air and no head injury features. What is the most appropriate management?

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Correct answer: B — Provide titrated analgesia, splint for comfort and transport to hospital

A suspected neck of femur fracture needs analgesia, careful handling and hospital assessment. A pelvic binder is not indicated for an isolated low-energy hip fracture without pelvic instability or shock. High-flow oxygen is not a substitute for pain control when saturations are adequate. The pearl is that proportionate immobilisation prevents harm from over-treatment and under-treatment.

Reference: JRCALC Guidelines 2025; NICE Fractures NG38