Management of proximal femoral fractures 2011: Association of Anaesthetists of Great Britain and Ireland.

Summary  1. There should be protocol-driven, fast-track admission of patients with hip fractures through the emergency department.  2. Patients with hip fractures require multidisciplinary care, led by orthogeriatricians.  3. Surgery is the best analgesic for hip fractures.  4. Surgical repair of hip fractures should occur within 48 hours of hospital admission.  5. Surgery and anaesthesia must be undertaken by appropriately experienced surgeons and anaesthetists.  6. There must be high-quality communication between clinicians and allied health professionals.  7. Early mobilisation is a key part of the management of patients with hip fractures.  8. Pre-operative management should include consideration of planning for discharge from hospital.  9. Measures should be taken to prevent secondary falls. 10. Continuous audit and targeted research is required in order to inform and improve the management of patients with hip  fracture.