"Fast tracking" patients with a proximal femoral fracture.

Objective: To assess the management of elderly patients presenting to the accident and emergency (A&E) department with a proximal femoral fracture.

Methods: A retrospective audit carried out on 30 patients with proximal femoral fracture showed an unacceptably long waiting time in the A&E department. A new "fast track" system for managing these patients, involving the use of a flow chart for expediting admission, was devised.