A previously independent 78-year-old has a displaced femoral-neck fracture, INR 3.1 from warfarin and mild dehydration. Pain improves after

Question

A previously independent 78-year-old has a displaced femoral-neck fracture, INR 3.1 from warfarin and mild dehydration. Pain improves after fascia-iliaca block. What is the most appropriate ED disposition?

Accepted Answer

Admit under orthopedics for optimization and coordinated warfarin-reversal planning

Answer

Discharge with protected weight bearing, home supports and outpatient orthopedic review

Answer

Arrange outpatient bone-health assessment before determining the surgical admission pathway

Answer

Keep in the ED for INR correction, repeat imaging and later orthopedic discussion

Answer

Transfer to inpatient rehabilitation with analgesia and mobility assessment before surgical review

Displaced femoral neck fracture — RCPSC EM MCQ

A previously independent 78-year-old has a displaced femoral-neck fracture, INR 3.1 from warfarin and mild dehydration. Pain improves after fascia-iliaca block. What is the most appropriate ED disposition?