Too Fit To Admit?

By Tom Newton, Mr Nicholas Hienz, Mr Thomas Carter

EMS300 Student Conference 2026

Slide 1: Too Fit To Admit?. A full description follows.

Summary

The presentation examines the management of unstable ankle fractures, focusing on the potential for discharging suitable patients directly from Accident and Emergency (A+E) rather than admitting them for surgery. It outlines a study involving 49 patients, highlighting key outcomes such as length of stay (LOS) before and after surgery, with findings indicating no significant difference in LOS between admitted and discharged patients. Recommendations suggest that physiotherapy and occupational therapy assessments in A+E could reduce unnecessary admissions, potentially saving costs associated with prolonged hospital stays.