Neck of Femur Fractures: Contemporary and Future Directions in Pre-Hospital Care with Emma Moore

In this episode of the Pre-Hospital Care Podcast, we explore the
evolving management of Neck of Femur (NOF) fractures, one of the
most common and operationally challenging presentations in
pre-hospital care. With an ageing population driving a rising
incidence, these injuries represent a significant clinical and
systems burden, requiring both rapid assessment and increasingly
sophisticated early management.


Joined by Emma Moore, Senior Lecturer in Paramedic Science at
CQUniversity Australia, the discussion unpacks current challenges
and future directions in care. We examine the growing role of
pre-hospital care bundles, specialist triage pathways, and how
system design is adapting to improve patient outcomes. A key
focus is analgesia, including the expanding use of fascia iliaca
blocks and multimodal pain strategies in the pre-hospital
environment.


The episode also highlights the key clinical distinctions between
older and younger patients, in which priorities shift from early
mobilisation to joint preservation, despite historically poor
outcomes in the latter group. Operational considerations such as
scene time versus rapid transport, and the skills paramedics need
for the next generation of care, are explored in depth.


This episode offers practical insight and forward-looking
perspectives for clinicians aiming to optimise NOF fracture
management in the pre-hospital setting. Read more on Emma's
research and work here:
https://journals.sagepub.com/doi/10.1177/14604086251350629





This Podcast is sponsored by World Extreme
Medicine.


World Extreme Medicine provides internationally recognised
education for clinicians and operators working in pre-hospital,
remote, expedition, humanitarian, and high-risk environments.
Their programmes focus on practical, experience-led learning,
equipping professionals with the skills to make sound clinical
and operational decisions when resources are limited, evacuation
is delayed, and conditions are extreme.


With courses covering expedition and wilderness medicine, hostile
environments, dive medicine, human performance, leadership, and
austere care, World Extreme Medicine brings together a global
faculty with real-world experience from some of the most
challenging settings on earth. To explore courses, free
educational resources, and upcoming webinars, visit:
⁠www.worldextrememedicine.com