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