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Emerg Med Australas · Apr 2023
Observational StudyOutcome of reduction of paediatric forearm fracture by emergency department clinicians.
- Jared Gursanscky, Anne-Maree Kelly, Ahmad Hamad, Andrew Tagg, Sharon Klim, Peter Ritchie, Ian Law, and David Krieser.
- Western Health, Melbourne, Victoria, Australia.
- Emerg Med Australas. 2023 Apr 1; 35 (2): 347349347-349.
ObjectivesPaediatric 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.© 2023 Australasian College for Emergency Medicine.
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