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OrthoFlow
Emergency Orthopaedic Platform
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ER-First
v9
Step 1
Intake
Step 2
Decision & Note
Step 3
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Patient Information
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Full Name ✱
MRN ✱
Age ✱
Gender ✱
Select…
Male
Female
Other
Laterality ✱
Select…
Left
Right
Bilateral
N/A
Site of Injury ✱
Select site…
Shoulder
Clavicle
Humerus
Elbow
Forearm
Wrist
Hand
Pelvis
Hip
Femur
Knee
Tibia/Fibula
Ankle
Foot
Spine
Pain Score (0–10)
Past Medical History
Previously healthy
Relevant conditions
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Injury Details
Mechanism of Injury
Select…
Fall on outstretched hand (FOOSH)
Ground-level fall
Fall from height
Road traffic accident
Twisting / inversion injury
Direct blow / impact
Sports injury
Axial loading
Pathological / minor trauma
Other
Time Since Injury
Select…
Less than 1 hour
1 hour
2 hours
3 hours
4 hours
6 hours
12 hours
1 day
2 days
Several days
Suspected Diagnosis
Chief Complaint / Additional History
Patient-Reported Neuro Symptoms
No numbness or weakness
Numbness reported
Weakness reported
Numbness and weakness reported
Head Injury / LOC?
No head injury, no LOC
Yes — head injury or LOC present
N/A
🩺
Clinical Examination
Red dot = critical flag
Deformity Type
No deformity
Dinner-fork deformity
Angular deformity
Rotational deformity
Limb shortening
Valgus deformity
Varus deformity
Posterior prominence (elbow)
Loss of shoulder contour
Skin Status
Intact — no open wound
Open wound / open fracture
Skin at risk / tenting
Wrist / Ankle ROM
Limited by pain
Full range of motion
N/A (proximal injury)
Swelling
Present
Absent
Ecchymosis / Bruising
Absent
Present
Capillary Refill
<2 seconds (normal)
>2 seconds (prolonged)
Distal Pulse
Palpable
Not palpable
Sensation
Intact — all distributions
Deficit — see notes
Adjacent Joints
No tenderness
Tenderness present
🔬
Imaging
X-ray Status
Obtained and reviewed
Ordered — pending
Not yet obtained
Attach Image (optional)
X-ray / CT Findings
⚕️
Management Performed in ED
Tick what has already been done
Analgesia Given?
Yes
No / pending
Reduction Performed?
No
Closed reduction done
Open reduction (theatre)
Splint / Cast Applied
None
Below-elbow backslab
Above-elbow backslab
Below-knee backslab
Above-knee backslab
Short leg cast
Long leg cast
Collar and cuff
Broad arm sling
Thomas splint
Zimmer splint
Post-Reduction NV Check
N/A (no reduction done)
Post-reduction NV intact
Post-reduction NV deficit
Post-Reduction Imaging
N/A
Done — reviewed
Ordered — pending
Follow-Up Plan
Fracture clinic 1 week
Fracture clinic 2 weeks
Fracture clinic 6 weeks
Urgent next-day review
Admission (no outpatient FU)
Final Assessment / Diagnosis (optional — auto-generated if blank)
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OPD
Decision Rationale
Immediate Actions
📋 Orthopaedic ER Note
📣 SBAR Handover
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OrthoReady Checklist
Role-assigned operative readiness
No pathway active.
Generate a decision first. OrthoReady activates when an operative pathway is triggered.
Active Pathway
Status
0
Done
0
Pending
0
N/A
⏳ Outstanding Items
Nurse
Nursing Tasks
OrthoReady Summary Note
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