Hip fracture specialists facilitate low-dose spinal anaesthesia in fractured neck of femur surgery.

Fractured neck of femur is a common but potentially devastating complication of frailty. In other surgical specialities, there is an inverse relationship between surgical experience and duration of surgery; however, this has not been quantified in hip trauma. In perioperative hip fracture care, prolonged surgery may be associated with increased morbidity and significantly impacts on the conduct of anaesthesia.

The Effect of Frailty on Long Term Outcomes in Vascular Surgical Patients.

Objective: Frailty is a multidimensional vulnerability due to age associated decline. The impact of frailty on long term outcomes was assessed in a cohort of vascular surgical patients.

Methods: Patients aged over 65 years with a length of stay greater than two days admitted to a tertiary vascular unit over a single calendar year were included.

The seven P's in battalion level combat health support in the Military Operations in Urban Terrain environment: the Fallujah experience, summer 2003 to spring 2004.

Combat health support in the Military Operations in Urban Terrain (MOUT) environment represents a common challenge on today's battlefield. We identified seven key aspects of battalion level health support which required consideration before combat operations in this type of environment. We called these the "seven P's" of combat health support: prevention, proportion, preparation, portability, proximity, protection, and projection.