Acute pain management
Open fractures require immediate IV antibiotics and urgent surgical washout
Neurovascular compromise from fracture requires emergent reduction and/or orthopedic intervention
Consider risk for compartment syndrome
Pain control in ED with<unk> al nerve block
Nerve Block: Fascia Iliaca Compartment
3 in 1 block <unk> al, obturator, lateral cutaneous nerve of thigh)
No difference in 2 blocks listed above, which both reduced pain scores in the ED. 
Nerve Block: Fascia Iliaca Compartment
3 in 1 block <unk> al, obturator, lateral cutaneous nerve of thigh)
No difference in 2 blocks listed above, which both reduced pain scores in the ED. 

Type and cross/screen for patients at higher risk of hemorrhage:
Age > 75 yrs
Initial hemoglobin < 12
Peritrochanteric fracture
Age > 75 yrs
Initial hemoglobin < 12
Peritrochanteric fracture
Femur fracture
Acute Trauma
Tibia fracture 
Humerus fracture
Proximal
Toe fracture
Intracapsular
Ankle fracture