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In message <[log in to unmask] p-tr.wmids.nhs.uk>, "Dunn Matthew Dr. ACCIDENT & EMERGENCY - SwarkHosp-TR" <[log in to unmask]> writes >It would be an interesting audit if anyone >is having enough FES to do it. Anecdote-based medicine: We have a very experienced ortho reg at present, who told me that fixing femur shafts is considered an urgent life-saving procedure in Germany (from whence he comes), BECAUSE of the risk of FES if left>24hrs. Next time I peer up at him, I'll ask him to back this up with evidence. As a non-orthopod, can someone tell me how you diagnose FES, from say Thromo-embolism? Is it purely by exclusion, is there some fancy expensive test, or is it clinically obvious? Dr G Ray Staff Grade A&E Sussex Reply to [log in to unmask] %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%