Research explores fracture management in the ED
![Man in blue pointing to work station on wheels, displaying a fracture.](/~/media/HSPs/SMHS/Corporate/Images/News/2024/SMHS-Piers-Truter-news.png)
A new research project is underway across seven metropolitan emergency departments (EDs) to explore treatment practices for common fractures in adults.
South Metropolitan Health Service's (SMHS) Musculoskeletal Diversion Clinic leader and Advanced Scope Physiotherapist Piers Truter said the research findings would be used to consolidate the provision of best practice care.
The research is part of Piers' PhD studies at the University of Notre Dame and involves collaboration with Dr Karen Richards (St John of God Midland ED), Sophie Coates (Royal Perth Hospital ED), Louise Giglia-Smith (Sir Charles Gairdner ED), A/Prof Dale Edgar (Armadale Health Service) and Dr Irene Pelletier (Joondalup Health Campus ED).
Piers said the project was sparked by his experience with various EDs and orthopaedic services. He had observed there were variations in how care was provided for five common, stable, self-limiting fractures.
"This research will allow us to understand if there is variation in how ED clinicians perceive care should be provided and assists us to consolidate the provision of best practice care to optimise patient outcomes," Piers said.
"We have completed data collection from the survey and have returned to the metropolitan EDs to provide training on providing optimal care for these fractures.
"There are clear advantages to patients and cost efficiencies for health services in providing consistent care."
The research is a continuation of Piers' innovative work to better manage fractures and musculoskeletal injuries. The research results will be published in the next six months.
Piers was one of the project leads in the establishment of the successful SMHS ED musculoskeletal diversion project (external site). The project reduces ED bed pressure by diverting patients with uncomplicated musculoskeletal conditions from the ED to outpatient clinics where they are seen by advanced scope physiotherapists.