Distal Radius Fracture in Adults Questionnaire
1. Which hospital do you work at?
2. Does your hospital accept or manage trauma patients?
3. Is your hospital a designated major trauma centre?
4. How many adults with closed distal radius fracture does your hospital manage in a month?
5. Does your department have a written guideline for the investigation and management of potential closed distal radius fracture following trauma?
6. If yes, where is your guideline taken from? (For example, BOAST, locally derived guideline etc.)
7. For patients requiring a closed manipulation of their fracture that present during the day, where is this manipulation carried out?
8. Which specialty is responsible for the initial manipulation of the fracture?
9. What form of analgesia is most commonly used for the manipulation procedure?
10. If a Bier’s block is performed, which specialty performs the Bier’s block?
11. What grade of doctor is most commonly responsible for performing the Bier’s Block?
12. For patients requiring a closed manipulation of their fracture that present overnight, where is this manipulation carried out?
13. Overnight, which specialty is responsible for the initial manipulation of the fracture?
14. Overnight, what form of analgesia is used for the manipulation procedure?
15. If patients do not receive manipulation out-of-hours where and when do they return?
16. Following presentation to hospital with a distal radius fracture, how soon after the injury are patients seen in the Fracture Clinic?
Paediatric Forearm Fracture Questionnaire
1. Which hospital do you work at?
2. Does your hospital accept or manage paediatric trauma patients?
3. Is your hospital a designated major trauma centre?
4. Approximately how many paediatric patients with a closed forearm fracture does your hospital manage in a month?
5. Does your department have a written guideline for the investigation and management of potential closed forearm fracture in children?
6. If yes, where is your guideline taken from? (For example, NICE, locally derived guideline etc.)
7. Does your guideline specify criteria for performing closed reduction in the emergency department of closed forearm fractures? If so, please specify.
8. For patients requiring a closed manipulation of their fracture that present during the day, where is this manipulation carried out?
9. Which specialty is responsible for the initial manipulation of the fracture?
10. What form of analgesia is most commonly used for the manipulation procedure?
11. For buckle fractures, what immobilisation, if any, is provided?
12. How are closed, overriding fractures of the distal radius metaphysis managed?
(Please answer for both age ranges)
13. If a patient requires manipulation or treatment in theatre (closed injury, without neurovascular compromise), what is the usual pathway?
14. Does any of your guideline differ out-of-hours (outside 8:00-17:00, Monday – Friday)?
If so, please specify:
15. Is there a mechanism in your hospital (e.g. audit process) whereby cases requiring revision manipulations/procedures are collected and reviewed?
