Description: There is an increasing body of evidence that supports a de-escalation of medical care for specific common and low-risk pediatric fractures. We will review the evidence and pitfalls of the evidence so that emergency physicians can make informed decisions for their pediatric patients who present with fractures.
At the end of this presentation, participants will be able to:
- Understand why some may benefit from a de-escalation of medical care.
- Apply minimal intervention strategies for low risk wrist and ankle fractures.
- Understand why low-risk ankle and wrist fractures can be considered appropriate for primary care follow up.
- Over-treating also carries harm for patients and the health care system
- Low-risk ankle and wrist fractures can be safely and effectively managed with removable devices
- Low-risk ankle and wrist fractures can be safely and effectively followed up with a primary care physician rather than an orthopedic surgeon’s office