Hipcast

Goals of Care After Hip Fracture: Conversations That Matter

Wed, 15 Jul 2026 13:00:00 +1000

In this episode of Hipcast, we’re joined by Dr Linda Sheahan, palliative care physician and clinical ethics consultant, alongside Professor Jacqui Close, orthogeriatrician and geriatric medicine Co-Chair of the Australian and New Zealand Hip Fracture Registry.

Together, we explore the importance of goals of care discussions in the context of hip fracture - why they matter, when they should occur, and how they can support patients, families and clinicians during what is often a sudden and life-changing event.

Linda and Jacqui discuss the practical and ethical challenges of decision-making after hip fracture, including how to navigate uncertainty, align care with a person’s values and preferences, and approach conversations about surgery, recovery, frailty, prognosis and quality of life.

We also consider how goals of care discussions can be embedded into routine hip fracture care, and why these conversations are not about limiting care, but about ensuring that treatment decisions are informed, compassionate and person-centred.

Importantly, the conversation highlights that high-quality hip fracture care is not only about timely surgery and rehabilitation, but also about listening carefully to what matters most to the person at the centre of care.

You can find resources on Australian Advanced Care Planning resources here.

🎙️ Hipcast is hosted by Dr Niamh Dove and produced by the Australian and New Zealand Hip Fracture Registry, dedicated to improving outcomes and experiences for people with hip fracture and those who care for them.

Healthy Bones After Hip Fracture: From Guidelines to Practice

Mon, 15 Jun 2026 13:00:00 +1000

In this episode of Hipcast, we’re joined by Dr Angela Sheu, Staff Specialist Endocrinologist at St Vincent’s Hospital Darlinghurst, Conjoint Senior Lecturer at UNSW, and Research Officer at the Victor Chang Cardiac Research Institute, alongside Professor Jacqui Close, internationally recognised orthogeriatrician and co-chair of the ANZHFR.

Together, we unpack the updated Healthy Bones Australia recommendations and what they mean for clinicians caring for people after hip fracture. Angela and Jacqui discuss the persistent osteoporosis treatment gap, why the post-fracture period is a critical window for intervention, and how the latest evidence is shaping recommendations around treatment initiation and sequencing.

We also explore the practical realities of implementing these guidelines across hospital and community settings, including the role of fracture liaison services, shared care, and strategies to reduce the risk of patients being lost to follow-up.

Importantly, the conversation highlights that a hip fracture should be seen not only as an acute event requiring surgical management, but also as an opportunity to prevent the next fracture through timely, coordinated osteoporosis care.

🎙️ Hipcast is hosted by Dr Niamh Dove and produced by the Australian and New Zealand Hip Fracture Registry, dedicated to improving outcomes and experiences for people with hip fracture and those who care for them.

More Implants, More Complexity: The Rise of Periprosthetic Fractures

Wed, 13 May 2026 10:00:00 +1000

In this episode of Hipcast, we’re joined by Associate Professor Chris Wall, Director of the Department of Orthopaedics at Toowoomba Hospital, Orthopaedic Surgery Co-Chair of the Australian and New Zealand Hip Fracture Registry, and Assistant Deputy Registry Clinical Director for the Australian Orthopaedic Association National Joint Replacement Registry.

In this conversation, we explore periprosthetic femur fractures - an increasingly common and complex challenge as rates of joint replacement continue to rise. Chris outlines what these fractures are, who they affect, and why they matter in modern orthopaedic and orthogeriatric care.

We discuss key aspects of management, including surgical decision-making and the challenges of fixation versus revision, as well as what current data tells us about patient outcomes.

Importantly, the episode highlights why including periprosthetic fractures in registry data is critical, and how this can support better understanding, improved care, and system-wide quality improvement.

Preventing the Fall: The Missing Piece in Hip Fracture Care

Wed, 15 Apr 2026 07:00:00 +1000

In this episode of Hipcast, we’re joined by Professor Kim Delbaere, Discipline Lead of Physiotherapy at UNSW Sydney and Senior Principal Research Scientist at Neuroscience Research Australia, as well as Immediate Past President of the Australian and New Zealand Falls Prevention Society.

In this conversation, we explore the important relationship between falls prevention and hip fracture care, and why preventing falls remains a critical – but often under-recognised – part of improving outcomes for older adults.

Kim discusses the work of the Falls Prevention Alliance Australia, the current national landscape of falls prevention, and some of the key challenges in translating strong evidence into real-world practice across health systems and communities.

Importantly, the discussion highlights the role clinicians, health services, and communities can play in strengthening falls prevention efforts, along with practical insights for those working in hip fracture care.

Five Years at the Top: Lessons from the Waitematā Golden Hip Team

Tue, 17 Mar 2026 09:00:00 +1100

In this episode of Hipcast, we’re joined by the Waitematā Hip Fracture Team in Aotearoa New Zealand, winners of the ANZHFR Golden Hip Award for five consecutive years.

Dr Min Yee Seow (Clinical Lead, Orthogeriatric Service), Vandhana Sharan (Orthopaedic Charge Nurse), and Kyleigh Pailman (Orthopaedic Physiotherapist) share how their multidisciplinary team has built one of the highest-performing hip fracture services across Australia and New Zealand.

The conversation explores the practical systems, team culture, and small operational changes that help Waitematā consistently deliver high-quality care – from coordinated multidisciplinary teamwork and early mobilisation to managing common challenges such as delirium and patient flow.

Importantly, the team reflects on the lessons learned along the way and offers practical advice for services looking to improve their own hip fracture care.

Whether you work in orthopaedics, geriatrics, nursing, physiotherapy, or health service leadership, this episode provides valuable insights into how strong teamwork and continuous improvement can translate into better outcomes for patients with hip fracture.

🎙️ Hipcast is hosted by Dr Niamh Dove and produced by the Australian and New Zealand Hip Fracture Registry, dedicated to improving outcomes and experiences for people with hip fracture and those who care for them.

Rehab at Home: The Hutt Valley Model for Hip Fracture Recovery

Mon, 16 Feb 2026 09:00:00 +1100

In this episode of Hipcast, we’re joined by Lauren Wulff, a community physiotherapist with the AWHI Early Supported Discharge Team in the Hutt Valley, New Zealand. With limited access to inpatient rehabilitation beds, Lauren and her team have built a comprehensive, high-functioning community-based rehabilitation model that supports patients from the moment they leave hospital.

Lauren shares how the Hutt Valley service delivers safe early discharge, provides intensive home-based rehabilitation, and equips patients and whānau with the skills, confidence, and support they need to regain mobility and independence.

Whether you work in orthopaedics, geriatrics, allied health, general practice, or community care, this episode provides actionable insights into delivering high-quality rehabilitation outside the traditional ward environment.

🎙️ Hipcast is hosted by Dr Niamh Dove and produced by the Australian and New Zealand Hip Fracture Registry, dedicated to improving outcomes and experiences for people with hip fracture and those who care for them.

From Fracture to Prevention: The New SOSFA Clinical Standards

Wed, 21 Jan 2026 08:00:00 +1100

In this episode of Hipcast, we explore the newly released Clinical Standards for Secondary Fracture Prevention Programs, developed by the SOS Fracture Alliance (SOSFA) and released in November 2025.

Joining us are:

Professor Markus Seibel, Chair of the SOS Fracture Alliance and Professor of Medicine at The University of Sydney
Dr Lauren Nacey, Geriatrician and leader in secondary fracture prevention
Professor Rudi Jaarsma, Academic and Clinical Director of Orthopaedic Surgery at Flinders Medical Centre
Dr Fiona Mackie, consumer representative with lived experience of osteoporosis and fracture risk

Together, they discuss why these standards were developed, the evidence and expertise that informed them, and how they aim to improve care for people who sustain a fragility fracture.

Hip Fracture Care for Māori patients

Mon, 15 Dec 2025 11:00:00 +1100

Dr Grace Taylor from the Department of Orthopaedic Surgery, North Shore Hospital, Auckland, New Zealand joins to share findings from her research "Standard of care and outcomes for Māori patients with neck of femur fractures" published in the ANZ Journal of Surgery.

Balancing Risks: SGLT2s, GLP-1s, and the Hip Fracture Patient

Mon, 17 Nov 2025 07:00:00 +1100

In this episode of Hipcast, we speak with three clinical experts about the complexities of surgical timing in hip fracture patients who are taking SGLT2 inhibitors and GLP-1 receptor agonists.

Professor Jacqueline Close (Consultant Geriatrician, Prince of Wales Hospital / Neuroscience Research Australia), A/Prof Katherine Tonks (Endocrinologist, Sydney Endocrinology / St Vincent’s Hospital) and Dr Louisa Lowes (Anaesthetist and Director of Perioperative Medicine, Prince of Wales Hospital) share insights from their respective disciplines on balancing surgical urgency with medication-related risks.

The discussion explores:

Mechanisms and perioperative considerations of SGLT2 inhibitors and GLP-1 agonists
How these agents influence timing and safety of hip fracture surgery
Interdisciplinary strategies to minimise perioperative complications
Practical take-aways for clinicians

🔗 Resources mentioned:

1. Australian Diabetes Society (ADS):
  Peri-operative Management of Diabetes Medications
2. ANZCA Safety Alert: ALERT UPDATE May 2023 Periprocedural Diabetic Ketoacidosis (DKA) with SGLT2 Inhibitor Use In People with Diabetes
3. ANZCA Safety Alert: Clinical Practice Recommendations regarding patients taking GLP-1 receptor agonists and dual GLP-1/GIP receptor co-agonists prior to anaesthesia or sedation for surgical and endoscopic procedures.
4. Australian and New Zealand Hip Fracture Registry (ANZHFR):
  Clinical Care Standards and Annual Report
5. A/Prof Katherine Tonks resource: Is your patient on a SGLT-2 Inhibitor?
6. ANZCA Patient Instructions: Preparing for your medical procedure when taking some diabetes and/or weight loss medications

Inside Hip Fracture Recovery: A Carer’s Perspective

Fri, 17 Oct 2025 08:00:00 +1100

In this special episode of Hipcast, host Dr Niamh Dove speaks with Nick May, husband and carer of his wife Fleur who sustained a hip fracture and underwent hospital treatment and recovery.

Nick shares his reflections on navigating the hospital experience, the realities of recovery at home, and how life changes after a hip fracture - from the viewpoint of the person providing day-to-day care. His story highlights the essential role of carers in supporting recovery and what health professionals can learn from their perspective.

This episode is brought to you by the Australian and New Zealand Hip Fracture Registry (ANZHFR), dedicated to improving outcomes and experiences for people with hip fracture and their families.

A Post-Op Analgesia Bundle for Hip Fractures

Mon, 15 Sep 2025 15:00:00 +1000

On this episode, A/Prof Jennifer Stevens and Emma Pauley share findings from their quality improvement project titled: A post-operative analgesic bundle of fascia iliaca catheter and celecoxib for elderly patients with hip fracture: a quality improvement project.

Jenny is an Associate Professor at both University of Notre Dame and UNSW as well as an anaesthetist and pain specialist at St Vincent’s Campus in Sydney, Australia. Emma is a Senior Orthopaedic Physiotherapist, also at St Vincent’s Hospital Darlinghurst.

Please find below the links for the resources mentioned in this episode:

ANZCA Resources for Change: https://www.anzca.edu.au/getContentAsset/4e02b985-9852-426f-aa16-b7f06ac2725a/80feb437-d24d-46b8-a858-4a2a28b9b970/Celecoxib-guidelines-May-2024.pdf?language=en
Gawthorne J, Stevens J, Faux S, Leung J, McInnes E, Fasugba O, Mcelduff B, Middleton S. Can emergency nurses safely and effectively insert fascia iliaca blocks in patients with a fractured neck of femur? A prospective cohort study in an Australian emergency department. Journal of Clinical Nursing. 9th June 2021. https://doi.org/10.1111/jocn.15883
Riley M, Tassie B, Gawthorne J, Hadzic R, Stevens J. Increased opioid consumption following regional nerve blockade: could fascia iliaca block be associated with rebound pain in neck of femur fracture? Br J Anaes. 10 May 2021. https://doi.org/10.1016/j.bja.2021.03.034

An Innovative Approach: Pre-Hospital Hip Fracture Care

Mon, 18 Aug 2025 08:00:00 +1000

On the episode, the Older Persons Emergency Network (OPEN) Clinical Director Dr Elizabeth (EJ) Marsden and OPEN nurse practitioner Sarah Bold share their teams achievements to provide pre-hospital hip fracture care. The OPEN Metro North team provides a pre-hospital neck of femur fracture pathway as a Queensland Ambulance Service co-response emergency department substitution model to provide timely outreach care for frail older persons living in residential aged care facilities and the community.

Timing of surgery for people taking Direct Oral Anticoagulants (DOACs)

Wed, 16 Jul 2025 09:00:00 +1000

Joining us on this episode to revisit and update on the topic of direct oral anticoagulants, or DOACS, and timing of surgery are Dr Hannah Seymour, a consultant geriatrician from Fiona Stanley Hospital in WA and Dr Seth Tarrant an orthopaedic surgeon from John Hunter Hospital NSW.

We covered this topic on this Hipcast episode in 2024 with Hannah and Professor Rebecca Mitchell following the results of ANZHFR Sprint Audit and publication of the Fragility Fracture Networks’ consensus statement in the journal Anaesthesia. We will also be looking at how time to surgery is tracking across AU and NZ and implications of this for practice.

What the Evidence Tells Us in Rehabilitation

Wed, 18 Jun 2025 10:00:00 +1000

Dr Suzanne Dyer presents on What the Evidence Tells Us in Rehabilitation at the ANZHFR Hipfest 2023. Dr Dyer is a senior research fellow at Flinders University, she’s worked as a researcher in both the public and private sector with expertise in evidence based methodologies including health technology assessment, systematic reviews, meta-analysis and guideline development. She’s the author of over 70 publications and reports including the Cochrane Review on Interventions for Improving Mobility after Hip Fracture.

Please find the mentioned research below:
- Interventions for improving mobility after hip fracture surgery in adults - 2022 Cochrane Review
- Multidisciplinary rehabilitation for older people with hip fractures - 2021 Cochrane Review
- Enhanced rehabilitation and care models for adults with dementia following hip fracture surgery - 2015 Cochrane Review

Australian Golden Hip Winners 2023: John Hunter Hospital

Wed, 14 May 2025 08:00:00 +1000

Joining the John Hunter Hospital hip fracture care team on Hipcast to sharing their insights into the multidisciplinary care approach of their site awarded the ANZHFR Australian Golden Hip 2023 Award for top performing hospital.

Joining us on the episode:

Mrs Ramya Kunnath: Orthopaedic Clinical Nurse Consultant - Hunter New England LHD
Dr Erica Epstein: Geriatrician - Hunter New England LHD
Dr Seth Tarrant: Orthopaedic surgeon - Hunter New England LHD
Prof Zsolt Balogh: Director of Trauma - Hunter New England LHD

Raising Awareness for Falls Prevention

Tue, 22 Apr 2025 11:00:00 +1000

Professor Kim Delbaere & Dr Rik Dawson share their work on raising awareness for falls prevention nationally.

Kim is a Senior Principal Research Scientist at Neuroscience Research Australia and a Professor of Health Sciences at the University of New South Wales. She is the current President of the Australian and New Zealand Falls Prevention Society.

Dr Rik Dawson is a Gerontological Physiotherapist and postdoctoral researcher at the Institute for Musculoskeletal Health at the University of Sydney. Rik is the current National President of the Australian Physiotherapy Association.

A Care Bundle for Delirium Prevention

Wed, 12 Mar 2025 09:00:00 +1100

A/Prof Danielle Ni Chroinin explores the effect of a multidisciplinary care bundle on the incidence of delirium after hip fracture surgery.

Links discussed:
1. The effect of a multidisciplinary care bundle on the incidence of delirium after hip fracture surgery: a quality improvement study (2020) in Anaesthesia
2. Delirium Reduction by Analgesia Management in Hip Fracture surgery (DRAM-HF): Exploration of perceived facilitators and barriers (2021) in Australasian Journal on Ageing
3. Clinical Practice Guideline: Orthogeriatric Hip Fracture Care (2023)

Rehabilitation in Residential Care

Mon, 10 Feb 2025 10:00:00 +1100

1 in 3 Australians aged 65 and over fall each year making it the leading cause of death for this age group.

Rik Dawson, an experienced physiotherapy and researcher, lifts the curtain to explain what is happening in residential care facilities in terms of physiotherapy care and rehabilitation and explores some important issues including:

The lack of rehabilitation available in residential aged care facilities;
The massive problem of falls in these facilities;
The challenges of providing care and staffing as set by the Aged Care Act 1997 and the impact on coordinated care;
Specific areas of focus in physiotherapy and residential aged care that warrant funding for improved quality of life outcomes.

For the Love of Data – Showcasing the Value and Impact of the ANZHFR | Hipfest 2024

Tue, 10 Dec 2024 12:00:00 +1100

Coming to you live at the 2024 ANZHFR Hipfest in Sydney to hear about how the Registry data is fuelling improvements in hip fracture care across the country.

Guests include:
- Dr Sheila Rahman, Orthogeriatrician, Campbelltown Hospital (NSW)
- Dr Hannah Seymour, Geriatrician, Fiona Stanley Hospital (WA)
- Mel Alexander, Intensive Care Paramedic, SA Ambulance Service (SA)

Hip Fracture Mortality Decreases with High Quality Clinical Care

Thu, 14 Nov 2024 06:00:00 +1100

Dr Lara Harvey, a senior research fellow at Neuroscience Research Australia and our ANZHFR co-chair Prof Jacqueline Close, a geriatrician based at Prince of Wales Sydney discuss their newly published research titled “Adherence to clinical care standards and mortality after hip fracture surgery in New South Wales, 2015–2018: a retrospective population-based study”.
The ACSQHC hip fracture care clinical care standard comprises seven quality statements supported by 16 quality indicators. This study looked at the impact of adherence to these standards on mortality for patients with hip fracture.
You can find the full study here in the Medical Journal of Australia.

Management of hip fracture for older adults taking direct oral anticoagulants (DOACs)

Wed, 01 May 2024 17:00:00 +1000

In this episode, Professor Rebecca Mitchell and Dr Hannah Seymour discuss the work they led in partnership with international colleagues from the Fragility Fracture Network on consensus statements developed to aid clinicians in their decision-making and to reduce practice variations in the management of patients with hip fracture taking direct oral anticoagulants.

For the full article:
Principles for management of hip fracture for older adults taking direct oral anticoagulants: an international consensus statement

https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16226?af=R

For more information on the upcoming ANZHFR Sprint Audit, email j.hallen@neura.edu.au

ANZHFR Preoperative Fasting Sprint Audit

Mon, 04 Dec 2023 06:00:00 +1100

Professor Jacqui Close, Registry Co-Chair and Geriatrician at Prince of Wales Hospital, along with Dr Phil Black, Anaesthetist at Prince of Wales Hospital share the results of the ANZHFR Preoperative Fasting Sprint Audit and the implementation of Sip Til Send at Prince of Wales.

Resources:

Kluger MT, Culwick MD, Moore MR, Merry AF. Aspiration during anaesthesia in the first 4000 incidents reported to webAIRS. Anaesthesia and Intensive Care. 2019;47(5):442-451. doi:10.1177/0310057X19854456

The video recording of Professor Close's presentation on the Preoperative fasting sprint audit at the Binational Hip Fest can be found at: https://www.youtube.com/watch?v=Y1kadcg2Hz4

The podcast with Dr Matthew Checketts, Consultant Anaesthetist, titled Sip Til Send can be found at: https://hipcast.buzzsprout.com/1739857/10350612

For further information on the Sprint Audit, go to: https://anzhfr.org/sprintaudits/

Sip Til Send Resources: Prince of Wales and Sydney/Sydney Eye Hospital. See Shared hospital resources at https://anzhfr.org/resources/

Quality of life after hip fracture

Wed, 15 Feb 2023 16:00:00 +1100

Professor Xavier Griffin spearheads academic orthopaedics at Queen Mary University London and Barts Health, having joined as the inaugural chair of Bone & Joint Health. Professor Griffin's vision is for world class excellence in research and clinical academic training; providing opportunity for the next generation of clinician scientists to realise their aspirations.

Professor Griffin presented at ANZHFR's 2022 Binational Hip Festival in Melbourne, Australia on quality of life after hip fracture. We are pleased to provide his presentation in podcast format.

The open access publication mentioned early in the podcast can be found at:
https://boneandjoint.org.uk/article/10.1302/0301-620X.103B5.BJJ-2020-1839.R1

(Reference: Griffin XL, Achten J, Parsons N, Costa ML, On behalf of the WHiTE collaborators. Does performance-based remuneration improve outcomes in the treatment of hip fracture?. Bone Joint J. 2021;103-B(5):881-887. doi:10.1302/0301-620X.103B5.BJJ-2020-1839.R1)

The video recording of the presentation can be found at: https://www.youtube.com/watch?v=dLdbb-RnYgk

All recorded sessions from the ANZHFR 2022 Binational Hip Fest are available on our website: https://anzhfr.org/hipfest2022/

Hip Tips: Nursing

Mon, 13 Feb 2023 06:00:00 +1100

On this episode, join episode host James Wright, Registered Nurse and ANZHFR Project Manager, and guest Nicola Ward, NZ Hip Fracture Registry Coordinator and Clinical Nurse Specialist for the Fracture Liaison Service at Tauranga Hospital, NZ to hear some nursing tips for caring for people after hip fracture.

Small hospital, big impact. Where to start in a regional Australian hospital

Wed, 16 Nov 2022 16:00:00 +1100

Dr Richard Kjar, Director of Orthopaedics, Ms Lisa Gephart, Clinical Nurse Consultant Acute Pain Service and Ms Megan Gilbert, Hip Fracture Clinical Specialist discuss the journey to implement the ANZHFR at Northeast Health Wangaratta in Victoria, Australia.

View the hospital's innovative NHW Hip Fracture Pathway - Staff awareness - Tik Tok type reel

Insights from Caroline Miller, Consumer Representative NZHFR

Mon, 14 Nov 2022 06:00:00 +1100

Caroline Miller is a Consumer Representative on the New Zealand Implementation Committee of the Hip Fracture Registry.

Caroline has a lived experience of hip fracture and spoke at New Zealand's Hip Festival in Wellington in September 2022. Tune in to hear her advice to health professionals working in hip fracture care.

Hip Tips: Physiotherapy

Thu, 08 Sep 2022 06:00:00 +1000

On this episode, join physiotherapist and ANZHFR project officer Karen Lee, Professor Cathie Sherrington from The University of Sydney, and physiotherapists Mr Brett Baxter from Princess Alexandra Hospital, Brisbane and Ms Rebecca Ferrier from The Prince Charles Hospital, Brisbane as they share their Hip Tips from Physiotherapy.

To summarise for our listeners, the Top Tips for Physiotherapy are:

1. Physiotherapy intervention early and as intense as possible.

2. Coordinated care is best. Look for opportunities to mobilise your patients

3. Enhance hip fracture recovery after discharge from hospital

4. Take care with progressing patients with hemiarthroplasty fixation performed via a lateral approach

5. The latest evidence tells us physio expertise is valuable after hip fracture including in the post-discharge phase

Recommended Resources:

- https://australian.physio/inmotion/physiotherapy-and-fractured-neck-femur

- Cochrane Review coming soon

- Hip4Hips RCT

- BOOST Study

- ANZHFR Acute Rehabilitation Sprint Audit

Please contact Ms Rebecca Ferrier via rebecca.ferrier@health.qld.gov.au to find out more about The Prince Charles Hospital physio led hip fracture post-surgical review clinic.

Implementing a change project in the Philippines

Mon, 08 Aug 2022 14:00:00 +1000

This podcast episode is hosted for the ANZHFR by former Registry Manager, Elizabeth Armstrong. On this episode, Elizabeth discusses with Dr Irewin Tabu the development and implementation of the Multicenter Implementation of Orthogeriatrics and a Fracture Liaison Service for Older People who have sustained a Hip Fracture.

Dr Irewin Tabu is a Consultant in the Department of Orthopaedics at the University of the Philippines - Philippine General Hospital in Manila, and is Lead Investigator for the project which kicked off on the 1st April this year.

The project launch meeting can be found at: https://www.ffnphil.org/frameworkforasustainabledigitalhealthregistry

The APFFA Hip Fracture Registry toolbox can be found at https://apfracturealliance.org/hfr-toolbox/

REDCap is a secure web application for building and managing online surveys and databases. For more information go to https://www.project-redcap.org/

Hip Tips: Dietetics

Mon, 18 Jul 2022 06:00:00 +1000

Join dietetics Dr Jack Bell from The Prince Charles Hospital, Kathryn Kane from Christchurch Hospital and Alexandra Fuller from The Wollongong Hospital as they share their top tips on optimising nutrition care of hip fracture using the SIMPLER approach.

Hip Tips: Consumers

Mon, 04 Jul 2022 09:00:00 +1000

Do you know what it’s like to undergo hip replacement surgery? James Wright, a registered nurse at the ANZHFR discusses the consumer experience of hip fracture replacement surgery patient and clinician Kristina Stiles.

Hip Tips: From a Loved One

Thu, 16 Jun 2022 09:00:00 +1000

Join registered nurse from ANZHFR James Wright as he hears about the acute journey of the hip fracture patient through the perspective of a loved one. Daughter Miranda Smith shares her recent lived experience of caring for her dad Barry's experience with hip fracture recovery.

Accelerating Time To Surgery: The Hip Attack Trials

Thu, 09 Jun 2022 09:00:00 +1000

This podcast episode is hosted by the Co-Chair of the Asia Pacific Fragility Fracture Alliance, geriatrician Dr Hannah Seymour from Fiona Stanley Hospital in WA. On this episode, Dr Seymour discusses the Hip Attack Trials with principal investigator Dr Flavia Borges. Dr Borges is an Internist and Assistant Professor in the Department of Medicine, and in the Perioperative Care Division at McMaster University. She is also an Investigator at the Population Health Research Institute, Hamilton, Canada.

Hip Tips: Orthopaedics

Tue, 24 May 2022 21:00:00 +1000

On this Hip Tips episode, join ANZHFR co-chair and orthopaedic surgeon Dr Catherine McDougall and orthopaedic surgeons Dr Chris Wall Toowoomba Base Hospital & Dr Ruth Varrall from Rockhampton Base Hospital as they share their top tips for optimising care for patients with hip fracture from an orthopaedic perspective.

Recommended Resources:
1. Toowoomba Base Hospital: Rural NOF Pathway
2. The Health Investigators: Total Hip Arthroplasty or Hemiarthroplasty for Hip Fracture
3. AOANJRR: Hip Knee & Shoulder Arthroplasty Annual Report 2021
4. British Orthopaedic Association (not Hip Society): Safety guideline: reducing the risk from cemented hemiarthroplasty for hip fracture
5. Fernandez et al, NEJM: Cemented or Uncemented Hemiarthroplasty for Intracapsular Hip Fracture

Sprinting into Acute Rehab: The Upcoming ANZHFR Sprint Audit

Tue, 10 May 2022 21:00:00 +1000

On this episode is Dr Mitchell Sarkies, a NHMRC Emerging Leadership Fellow from the Institute of Health Innovation at Macquarie University shares the upcoming plans for the ANZHFR Sprint Audit in acute rehabilitation.

Please contact our Australian Registry Manager Jamie Hallen on j.hallen@neura.edu.au if your site would like to take part in this ANZHFR Sprint Audit.

Please note that due to the QLD Public Health Act requirement, QLD-based hospitals are not able to participate in the patient-level audit.

Hip Tips: Geriatrics

Wed, 27 Apr 2022 12:00:00 +1000

Welcome to our new Hipcast series "Hip Tips" providing you with tips from experts in hip fracture care.

On the episode, join ANZHFR co-chair and orthogeriatrician Prof Jacqueline Close & geriatrician Dr Sarah Hurring as they share their top tips for optimising care for patients with hip fracture from a geriatrics perspective.

Please see below for the list of resources mentioned:
1. ANZHFR Annual Report 2021
2. ANZHFR Sprint Audit summary page
3. ANZHFR Bone Protection Medication Sprint Audit
4. ANZHFR Nutrition Sprint Audit
5. Association of Anaesthetists of Great Britain & Ireland: Guideline for the management of hip fractures 2020
6. Hipcast: Sip Til Send with anaesthetist Dr Matthew Checketts (NHS, Scotland)

Boosting Inpatient Exercise After Hip Fracture

Tue, 12 Apr 2022 16:00:00 +1000

On today’s episode, we will be talking about the "Boost Project" with senior physiotherapist Marie March from Blacktown & Mt Druitt Hospitals in the Western Sydney Local Health District. Marie is a current clinical lecturer, PhD student, researcher and casual academic at the University of Sydney. She is also the chief investigator for the "Boost Project" investigating how hospitals can deliver more frequent exercise programs for inpatients with hip fracture through an implementation science study with physiotherapists and other healthcare workers.

Recommended resources:

Sip Til Send: Minimising fluid fasting times for our patients

Fri, 01 Apr 2022 09:00:00 +1100

In this, episode, consultant anaesthetic Dr Matthew Checketts from Ninewells Hospital Dundee, Scotland joins to share the initiative he’s been pioneering called the Sip Til Send policy which aims to reduce fluid fasting times for surgical patients in hospital. Anaesthetist and intensivist Dr Sean McManus from the Royal Brisbane and Women's hospital in Queensland also joins to discuss the clinical potential of this approach.

For those seeking advice on implementing this policy, you can contact Dr Checketts on Matthew.Checketts@nhs.scot

To access the Sip Til Send graphic, please click here.

Spinal or General Anaesthesia for Hip Fractures?

Wed, 16 Mar 2022 06:00:00 +1100

On this episode anaesthetist A/Prof Mark Neuman of the REGAIN trial from the University of Pennsylvania joins to discuss the recently published Spinal Anesthesia or General Anesthesia for Hip Surgery in Older Adults in the New England Journal of Medicine. Geriatrician Dr Hannah Seymour from Fiona Stanley Hospital joins to discuss clinical impact of anaesthetic choice on the outcome of patients with hip fractures.

You can find the publication here: https://www.nejm.org/doi/full/10.1056/NEJMoa2113514

Interdisciplinary Nutritional Care for Older Adults

Thu, 03 Mar 2022 16:00:00 +1100

Clinical dietitian Dr Jack Bell from Prince Charles Hospital in Brisbane and clinical nutritionist Assistant Prof Ólöf Guðný Geirsdóttir from the University of Iceland discuss the importance of interdisciplinary nutritional management and care of older adults based on their recently published open access textbook. This text is a fantastic resource to assist nursing nutritional care in particular.

You can find the publication here: https://link.springer.com/book/10.1007/978-3-030-63892-4

Using the Clinical Frailty Scale

Fri, 18 Feb 2022 16:00:00 +1100

On this episode, Dr Hannah Seymour joins the podcast to talk about the Clinical Frailty Scale, a judgement-based frailty tool that evaluates specific domains including comorbidity, function, and cognition. Dr Seymour is a geriatrician based at Fiona Stanley Hospital in Western Australia and she has been researching effectiveness of employing the Clinical Frailty Scale in predicting mortality in hip fracture care.

Publication:
Narula, S., Lawless, A., D’Alessandro, P., Jones, C. W., Yates, P., & Seymour, H. (2020). Clinical Frailty Scale is a good predictor of mortality after proximal femur fracture: A cohort study of 30-day and one-year mortality. Bone & joint open, 1(8), 443-449.

Suggested Resources:
AIMS Research Group - Clinical Frailty Scale Training Module
Dalhousie University Clinical Frailty Scale Guidance and Training

Eat Walk Engage

Thu, 03 Feb 2022 11:00:00 +1100

On this episode, Professor Alison Mudge joins to discuss Eat Walk Engage, a comprehensive multi-disciplinary program preventing delirium and improving care for older people in hospital. Professor Mudge is the Clinical Lead for the Queensland statewide Eat Walk Engage program, Metro North Clinician Research Fellow and Professor of Medicine at the Royal Brisbane Clinical Unit.

You can find the mentioned publication of the Eat Walk Engage program here.

To find out more information on this fantastic program contact:
Professor Alison Mudge: Alison.Mudge@health.qld.gov.au
Eat Walk Engage: EatWalkEngage@health.qld.gov.au

The New ANZHFR Website

Fri, 14 Jan 2022 17:00:00 +1100

Join ANZHFR research assistant Niamh Ramsay as she walks you through the new ANZHFR website and its functions.

Play along by going to anzhfr.org or check out the video version of this episode here.

Let's reduce hip fracture risk by 46%!

Tue, 04 Jan 2022 18:00:00 +1100

Dr Sandra Iuliano, a senior research fellow in Endocrinology from the University of Melbourne, shares the results of her study The Effect of Dietary on how adequate calcium & protein intake can reduce falls & fractures in aged care residents.

Iuliano, S., Poon, S., Robbins, J., Bui, M., Wang, X., De Groot, L., ... & Seeman, E. (2021). Effect of dietary sources of calcium and protein on hip fractures and falls in older adults in residential care: cluster randomised controlled trial. bmj, 375.

You can find this British Medical Journal publication here.

A Review of 2021

Tue, 14 Dec 2021 14:00:00 +1100

Join co-chairs Prof Jacqui Close, Prof Ian Harris & Catherine McDougall and Australian Registry Manager Jamie Hallen as we review 2021 and discuss the plans to come. A big thank you to our listeners for supporting our podcast and mission to improve hip fracture care.

Behind the Success: Princess Alexandra Hospital

Tue, 07 Dec 2021 15:00:00 +1100

Princess Alexandra took out the ANZHFR 2021 Australian Golden Hip Award this year, and on this episode, their Orthopaedic Clinical Nurse Consultant Naomi O'Rourke shares an insight into how their department has become a top performing Australian hospital in hip fracture care.

Secrets to Success: Waitemata District Health Board

Tue, 30 Nov 2021 12:00:00 +1100

On this episode, Geriatrician Dr Min Yee Seow from Waitemata District Health Board provides an insight into hip fracture care at North Shore Hospital. Waitemata’s North Shore Hospital was the ANZHFR 2021 New Zealand Golden Hip Award winner, so tune in to hear their secrets to success as a top performing hospital in Australia in hip fracture care .

Pre-Operative Fasting & Hip Fractures

Tue, 23 Nov 2021 14:00:00 +1100

A recent Hipfest presentation by Dr Sharon Carey on pre-operative fasting in the person with a hip fracture. Dr Carey is the Head of Nutrition and Dietetic & Director of Allied Health Research and Education, Institute of Academic Surgery at Royal Prince Alfred Hospital.

Thank you to Dr Jack Bell for his introduction of Dr Carey for the episode and for leading the Q&A session following the talk.

Early Mobilisation: The Good, The Bad & The Ugly

Fri, 19 Nov 2021 09:00:00 +1100

A recent Hipfest panel discussion around the early mobility of patients following hip fracture surgery. Physiotherapist Brett Baxter leads the multidisciplinary discussion with anaesthetics, surgery, physiotherapy and nursing representatives discussing the barriers to achieving early mobilisation post-operatively for patients with hip fracture.

The video can be watched here

Using TXA in Hip Fracture Surgery

Fri, 12 Nov 2021 00:00:00 +1100

Dr Seth Tarrant, an orthopaedic surgeon for the John Hunter Trauma Service, provides an overview of the evidence for the use of tranexamic acid acid in hip fracture surgery. This is followed by a Q&A with orthopaedic surgeon Dr Catherine McDougall.

Watch the video version here.

Highlighted studies:
1. Palija, S., Bijeljac, S., Manojlovic, S., Jovicic, Z., Jovanovic, M., Cvijic, P., & Dragicevic-Cvjetkovic, D. (2021). Effectiveness of different doses and routes of administration of tranexamic acid for total hip replacement. International orthopaedics, 45(4), 865-870.

2. Gayet-Ageron, A., Prieto-Merino, D., Ker, K., Shakur, H., Ageron, F. X., Roberts, I., ... & Pepple, T. (2018). Effect of treatment delay on the effectiveness and safety of antifibrinolytics in acute severe haemorrhage: a meta-analysis of individual patient-level data from 40 138 bleeding patients. The Lancet, 391(10116), 125-132.

3. Zufferey, P. J., Miquet, M., Quenet, S., Martin, P., Adam, P., Albaladejo, P., ... & investigators of the tranexamic acid in hip-fracture surgery (THIF) study. (2010). Tranexamic acid in hip fracture surgery: a randomized controlled trial. British Journal of Anaesthesia, 104(1), 23-30.

4. Tengberg, P. T., Foss, N. B., Palm, H., Kallemose, T., & Troelsen, A. (2016). Tranexamic acid reduces blood loss in patients with extracapsular fractures of the hip: results of a randomised controlled trial. The bone & joint journal, 98(6), 747-753.

5. Zhou, X. D., Zhang, Y., Jiang, L. F., Zhang, J. J., Zhou, D., Wu, L. D., ... & Xu, N. W. (2019). Efficacy and Safety of Tranexamic Acid in Intertrochanteric Fractures: A Single‐Blind Randomized Controlled Trial. Orthopaedic surgery, 11(4), 635-642.

6. Haj-Younes, B., Sivakumar, B. S., Wang, M., An, V. V., Lorentzos, P., & Adie, S. (2019). Tranexamic acid in hip fracture surgery: a systematic review and meta-analysis. Journal of Orthopaedic Surgery, 28(1), 2309499019887995.

7. Nikolaou, V. S., Masouros, P., Floros, T., Chronopoulos, E., Skertsou, M., & Babis, G. C. (2021). Single dose of tranexamic acid effectively reduces blood loss and transfusion rates in elderly patients undergoing surgery for hip fracture: a randomized controlled trial. The Bone & Joint Journal, 103(3), 442-448.

8. Ma, H., Wang, H., Long, X., Xu, Z., Chen, X., Li, M., ... & Liu, X. (2021). Early intravenous tranexamic acid intervention reduces post-traumatic hidden blood loss in elderly patients with intertrochanteric fracture: a randomized controlled trial. Journal of Orthopaedic Surgery and Research, 16(1), 1-7.

9. You, D., Skeith, L., Korley, R., Cantle, P., Lee, A., McBeth, P., ... & Schneider, P. (2021). Identification of hypercoagulability with thrombelastography in patients with hip fracture receiving thromboprophylaxis. Canadian Journal of Surgery, 64(3), E324.

Dr Seth Tarrant can be contacted via sethtarrant@gmail.com.

Anaesthesia & Postoperative Delirium

Thu, 04 Nov 2021 12:00:00 +1100

Professor David Scott Anaesthetist and Director of the Department of Anaesthesia and Acute Pain Medicine at St Vincent’s Hospital Melbourne discusses his research in anaesthesia and delirium from the BALANCED Delirium study recently published in the British Journal of Anaesthesia.

The study publication can be found here: https://www.sciencedirect.com/science/article/pii/S0007091221004931?dgcid=author

Getting It Right The First Time in Hip Fracture Care

Tue, 26 Oct 2021 15:00:00 +1100

Dr Catherine McDougall, Orthopaedic Surgeon and Clinical Director of Surgery at STARS in Metro North Brisbane and Co-Lead of the Getting It Right The First Time (GIRFT) program shares the achievements of the program in hip fracture care in Queensland.

Click the link for more information:
UK: https://www.gettingitrightfirsttime.co.uk
QLD: https://clinicalexcellence.qld.gov.au/priority-areas/service-improvement/girft

The Future of Digital Health Care for Hip Fracture Patients

Fri, 15 Oct 2021 16:00:00 +1100

A/Prof Mellick Chehade, an Orthopaedic Trauma Consultant from Adelaide, discusses his work developing digital healthcare for patients with hip fractures.

Click here for more information: https://www.who.int/bulletin/volumes/98/8/19-249136.pdf

If you wish to find out more, please find A/Prof Chehade's contact details here: https://researchers.adelaide.edu.au/profile/mellick.chehade

Centre for Research Excellence in Frailty and Healthy Ageing: https://health.adelaide.edu.au/frailty-healthy-ageing/

Hip Fracture Care in the Remote Setting

Tue, 05 Oct 2021 16:00:00 +1100

Stephanie Thornton, Nurse Management Consultant, Central Australia Health Service, discusses the unique physical and cultural challenges of hip fracture care in a remote setting. Hear Stephanie discuss issues of transporting patients long distances, engaging with patients in a culturally appropriate manner and the necessity to think outside the box with regard to equipment provision!

ANZHFR New Zealand Golden Hip 2021 Award Ceremony

Thu, 30 Sep 2021 12:00:00 +1000

This week join the ANZHFR team for the inaugural ANZHFR New Zealand Golden Hip 2021 award. The Golden Hip was initiated by the Scottish Hip Fracture Audit to promote and reward better health care for people with hip fractures.

For the first time in New Zealand, four finalist hospitals will be recognised for their achievements against the Hip Fracture Care Clinical Care Standard quality indicators. The top performing hospital will be awarded the New Zealand Golden Hip 2021 award.

See the video version of this ceremony: https://youtu.be/9hZeLoeMfJU

ANZHFR Australian Golden Hip Award Ceremony 2021

Thu, 30 Sep 2021 11:00:00 +1000

This week join the ANZHFR team for the inaugural ANZHFR Australian Golden Hip 2021 award. The Golden Hip was initiated by the Scottish Hip Fracture Audit to promote and reward better health care for people with hip fractures.

For the first time in Australia, ten finalist hospitals will be recognised for their achievements against the Hip Fracture Care Clinical Care Standard quality indicators. The top performing hospital will be awarded the 2021 Australian Golden Hip award.

See the video version of this ceremony: https://youtu.be/TIq6xSQZx00

ANZHFR Annual Report 2021

Tue, 21 Sep 2021 12:00:00 +1000

Join ANZHFR co-chairs Prof Jacqui Close & Prof Ian Harris and Australian Registry Manager Jamie Hallen to discuss the recently published ANZHFR Annual Report 2021.

The Surgical Management of Intertrochanteric Fractures

Tue, 14 Sep 2021 13:00:00 +1000

Orthopaedic surgeons Dr Catherine McDougall & Dr Lorenzo Calabro discuss the options for the surgical management of intertrochanteric fractures.

A video version of this talk is available at: https://www.youtube.com/watch?v=y7M7t01n_rQ

Getting to know the Fragility Fracture Network

Tue, 07 Sep 2021 10:00:00 +1000

Adjunct Associate Professor Paul Mitchell, Chair of the Communications Committee of the Fragility Fracture Network provides an introduction to the network and their global call to action.

Here are some useful links for podcast listeners:

FFN Global Congress, 28-30 September - https://www.fragilityfracturenetwork.org/project/welcome-message/
Global Call to Action on Fragility Fractures and FFN Clinical and Policy Toolkits - https://www.fragilityfracturenetwork.org/cta/
Asia Pacific Fragility Fracture Alliance-FFN Hip Fracture Registry Toolbox - https://apfracturealliance.org/hfr-toolbox/

Anaesthesia & Analgesia in Hip Fracture

Tue, 31 Aug 2021 11:00:00 +1000

Anaesthetist Dr Richard Halliwell discusses the considerations for analgesia in the older hip fracture patient. Richard presents the research evidence, together with the risks and benefits for different anaesthetic and pain relief approaches. This is followed by a Q&A with ANZHFR Co-chair Prof Jacqui Close.

NSW Agency for Clinical Innovation Fascia Iliaca Block guide found here: https://aci.health.nsw.gov.au/__data/assets/pdf_file/0004/285592/Fascia-Iliaca-Block-Guide.pdf

Systematic Review of the Effects of Fascia Iliaca Compartment Block on Hip Fracture Patients Before Operation (2018): https://www.bjanaesthesia.org/article/S0007-0912(18)30041-2/fulltext

Cochrane Review (2018) on EEG and delirium mentioned:
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD011283.pub2/full

Improving Hospital Performance & Minimising Risk of Another Fracture

Tue, 24 Aug 2021 12:00:00 +1000

Geriatrician, Dr Chrys Pulle, presents his hospital’s experience in improving performance on Clinical Indicator 6 – “Minimising the risk of another fracture”. Chrys discusses how identification of at-risk patients, investigation of risk factors and individualised treatment plans for falls prevention and treatment of osteoporosis are a cost effective approach to significantly reduce the risk of further fractures, pain, suffering and hospitalisation

Delirium Prevention and Management

Tue, 17 Aug 2021 13:00:00 +1000

Professor Jacqueline Close discusses the effects of delirium on patient outcomes and highlights recent research in this area. Jacqui provides information regarding strategies for preventing delirium such as pain management, nutrition and hydration, time to surgery, bladder and bowel management and involvement of carers. This is followed by a short Q&A session with Dr Hannah Seymour.

Please find the meta-analysis mentioned here: https://jamanetwork.com/journals/jamasurgery/article-abstract/2432614

Please find the HIP ATTACK study mentioned here:
https://www.sciencedirect.com/science/article/pii/S0140673620300581

Please find the music therapy & sleep quality study mentioned here:
https://agsjournals.onlinelibrary.wiley.com/doi/abs/10.1111/jgs.17149

Please find the study on intranasal administration of insulin and delirium mentioned here:
https://www.sciencedirect.com/science/article/abs/pii/S1064748121002165

Anticoagulants & Hip Fractures

Tue, 10 Aug 2021 23:00:00 +1000

Prof Ian Harris leads a panel discussion on the subject of anticoagulants and hip fracture. Hear the perspectives of orthopaedic surgeon Dr Chris Jones, anaesthetist Dr Sean McManus, geriatrician Dr Hannah Seymour and haematologist Dr Stephanie Ping as they discuss several case studies which highlight some of the considerations around this issue.

Please find the mentioned Association of Anaesthetists (2020) resource here:
https://anaesthetists.org/Portals/0/PDFs/Guidelines%20PDFs/Management%20of%20hip%20fractures%202020.pdf?ver=2021-01-21-143705-287

Malnutrition & Hip Fractures

Fri, 06 Aug 2021 10:00:00 +1000

Join Prof Ian Harris, co-chair of ANZHFR for a Q & A with Dr Jack Bell, Dietitian from The Prince Charles Hospital, Queensland and ANZHFR Steering Committee member. Dr Jack Bell discusses the importance of malnutrition and SIMPLE nutrition care for hip fractures.

Your Questions Answered: Multidisciplinary Care of the Hip Fracture Patient

Mon, 26 Jul 2021 17:00:00 +1000

Successful multidisciplinary care can be a challenge. Join our expert panel to hear about the triumphs and barriers to achieving cohesive teamwork for throughout the hospital journey for hip fracture patients.

Our guest panel:

Subacute Team Representations from Orange General Hospital NSW:

- Kate Polain - Rehabilitation Clinical Nurse Consultant

- Josie Lowe - Dietitian

- Jo Upson - Physiotherapist

Brett Baxter - Physiotherapist, Princess Alexandra Hospital QLD

Dr Sarah Hurring - Geriatrician, Burwood Hospital NZ

E-Pathways: Improving hip fracture care for patients

Tue, 20 Jul 2021 15:00:00 +1000

Prof Gustavo Duque, a Melbourne-based Geriatrician discusses a pilot study by his research team on the implementation of an electronic care pathway for hip fracture patients and the benefits of this on the patient hospital journey.

For more information, please take a look at the published paper: https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-020-03834-w

Talevski, J., Guerrero-Cedeño, V., Demontiero, O. et al. Implementation of an electronic care pathway for hip fracture patients: a pilot before and after study.BMC Musculoskelet Disord 21, 837 (2020). https://doi.org/10.1186/s12891-020-03834-w

Bone Protection Medication On Discharge

Tue, 13 Jul 2021 10:00:00 +1000

Join Prof Jacqui Close, co-chair of ANZHFR for a Q & A with Dr Bianca Wong, Geriatrician from the Lyell McEwin Hospital, South Australia. Dr Bianca Wong discusses how they are able to achieve a high rate of initiating osteoporosis medication at her hospital.

Analgesia for Hip Fractures

Wed, 30 Jun 2021 12:00:00 +1000

Anaesthetists, Dr John Barry and Dr Sean McManus discuss the role of the anaesthetist in the care of patients with fractured neck of femurs, including the challenges of pain management in the older patient, particularly those with cognitive impairment. Elderly patients with hip fracture are at risk of being undertreated for pain which can contribute to longer lengths of stay and poorer functional outcomes. John and Sean discuss the advantages and disadvantages of different modes of analgesia that are available and the clinical significance of fascia and femoral nerve blocks.

The Benefits of Early Mobilisation

Tue, 22 Jun 2021 21:00:00 +1000

This week we have New Zealand senior physiotherapist Claire Turner sharing her experience on the benefits of early mobilisation for hip fracture patients.

Your Questions Answered: Ethics, Governance & Functionality

Tue, 08 Jun 2021 08:00:00 +1000

A follow up session from the recent Australian Hipfest, our experienced Registry experts Elizabeth Armstrong and Stewart Fleming answer some of the audience's burning questions on involvement in the Registry.

Your Questions Answered: Clinical Management of the Hip Fracture Patient

Fri, 04 Jun 2021 17:00:00 +1000

With our expert panel of ANZHFR Co-Chairs Prof Close & Prof Harris, geriatrician Dr Seymour & anaesthetist Dr McManus, we will be answering your burning questions on anticoagulation and surgery, delirium, pain management and bone protection for your hip fracture patients.

Links:
1. Anticoagulation & Surgery Resource: Association of Anaesthetists of Great Britain & Ireland - https://anaesthetists.org/Portals/0/PDFs/Guidelines%20PDFs/Management%20of%20hip%20fractures%202020.pdf?ver=2021-01-21-143705-287

2. Bone Protection: RACP Osteoporosis Guideline: https://healthybonesaustralia.org.au/wp-content/uploads/2020/11/OA-RACGP-Osteoporosis-Clinical-Guidelines-Summary-ver-2018.pdf

HIPFIT & Beyond

Tue, 01 Jun 2021 09:00:00 +1000

Professor Maria Fiatarone Singh is a Geriatrician at The University of Sydney, New South Wales. She describes her research in rehabilitation after hip fracture and the effects of high intensity progressive resistance training as well as targeted multi-disciplinary treatment. She gives context to the randomised control study and describes how this research can be translated into a wider scope.

The Role of Transthoracic Echo in Hip Fracture

Wed, 26 May 2021 09:00:00 +1000

Dr Matthew Beech, Staff Specialist Anaesthetist at Gold Coast University Hospital, QLD Australia and Prof Jacqui Close, co-chair of ANZHFR discuss the role of transthoracic echo in hip fracture.

eHIP - A Hip Fracture Journey

Wed, 19 May 2021 13:00:00 +1000

Mr Peter Moules, a registered nurse in ED, describes how care was improved with an innovative eHIP bundle of care and prompt notification system involving the MDT Hip Fracture team at Wollongong Hospital, New South Wales, Australia.

High Intensity Physiotherapy for Hip Fractures

Tue, 11 May 2021 12:00:00 +1000

Dr Lara Kimmel, team leader and physiotherapist describes how High Intensity Physiotherapy for Hip Fractures is provided at The Alfred Hospital, Victoria, Australia. Dr Kimmel presents the results of the HIP4Hips randomised control trial and explains how they are able to provide this model of physiotherapy as “business as usual” at The Alfred.

Direct Oral Anticoagulants and Emergency Surgery

Tue, 04 May 2021 12:00:00 +1000

Dr Agnes Yuen is a Haematologist from Melbourne Haematology and research fellow at Monash Health, Victoria, Australia. She will be discussing direct oral anticoagulants and emergency hip fracture surgery.

When not to operate and when to palliate. A shared care approach.

Wed, 28 Apr 2021 15:00:00 +1000

Taken from the 2020 Hipfest Lecture Series, Dr Hannah Seymour, Geriatrician at Fiona Stanley Hospital, Western Australia and Prof Jacqui Close, co-chair of ANZHFR discuss when not to operate on hip fracture patients towards the end of their lives.

Total hip replacement versus hemiarthroplasty in hip fracture management

Tue, 20 Apr 2021 17:00:00 +1000

Consultant orthopaedic surgeons, Dr Marinis Pirpiris and Prof Ian Harris discuss the use of total hip replacements versus hip hemiarthroplasty in the management of hip fractures as well as the use of dual mobility hip replacements.

Teamwork Makes The Dream Work

Tue, 23 Mar 2021 18:00:00 +1100

Improving time to surgery for hip fracture patients: Dr Saqib Zafar, Orthopaedic surgeon tells us how this was achieved with a dedicated hip fracture team at Nepean Hospital in New South Wales, Australia.