Silver Trauma Clinic (STC)

Updated: Nov 8

The Silver Trauma Review Clinic is an ED clinic developed to provide a safety-net review service for frail patients > 65 who have suffered an injury and are being discharged from the ED following assessment and management of their injuries.

The clinic will review:

  • Stable Vertebral compression fractures

  • Non operative pelvic fractures (pubic rami and sacral)

  • Rib fractures

  • Soft tissue injuries (occult fragility fractures)

  • Non operative wrist/ankle injuries

Patients who have been admitted or being followed up in person in another MMUH clinic eg fracture clinic should not be referred.

The purpose of the clinic is to evaluate patients following frailty trauma with an aim to

  • Assess for occult injury

  • Identify and manage medical complications following injury

  • Falls risk assessment

  • Bone health assessment

  • Rehabilitation programme development

The clinic will run on Thursday afternoons from in the Minor Injury Unit in Smithfield (first floor). Patient will be assessed by EM, Geriatrics and physiotherapy.

We have space for 3 new assessments each week an 3 reviews. Each visit takes about 1-2 hours.

Appointments can be made on patient centre, with a discharge to "Refer to ED clinic" and then SILVER TRAUMA REVIEW

The referral document and PIL are on the Mater FIT tab on patient centre.

Please ensure that patients have a full blood work up done including:

FBC, RENAL, LIVER, BONE profile, ESR, Vit D, VB12, Iron.

An ECG and documented postural BP should be performed.

Please ensure that patients receive a "Patient information Leaflet. The referral form should be completed and saved on patient centre.

Patients should attend with carers/NOK. Patient should bring a list of their medications, mobility aids, hearing aids and visual aids.

If it is unclear on suitability of referral or further questions please email me or

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