Please notify the ED staff that I do not treat:
1)displaced talus and calcaneus fractures
2)acetabular fractures
3)Schatzker IV, V, VI fractures (bicondylar)
4)Distal femur fractures with intercondylar split
5)Necrotizing Fasciitis--needs to go to higher acuity hospital
Also, here are some things that should not be called to ortho in middle of night:
1)minimally displaced pubic rami fractures
2)distal radius fracture, already splinted, needs to arrange follow-up
3)minimally displaced ankle fracture, already splinted, needs to arrange follow-up
4)hip fracture in hospice patient who does not want surgery
5)ACL tear
6)proximal humerus fractures in elderly
7)isolated ulna shaft fracture
8)isolated fibula shaft fracture
9)pain with unknown etiology
10)Patients who had surgery by other ortho surgeons in the area. We have been called in middle of night when patients report to our ED with a complication from other surgeons. When those surgeons refuse to answer call or see patient, it is still their patient and still their responsibility. (PER EMTALA, Dr Dean is still required to see this case if requiring emergency consult; contact Gabe 24-hrs if any Emtala issues)
We will add to this list as other issues arise, but this should be a good starting point.
Thanks again for your help. My life expectency should improve if I start getting more sleep ;-)
Respectfully,
Jeff Dean