With over 3900 neck of femur fractures (NOFs) reported in Ireland in 2021, these fractures represent a significant burden of morbidity and mortality, particularly for our older patients. Early recognition coupled with meticulous management, both in the ED and beyond, is instrumental in ensuring optimal outcomes. Orla Kelly puts TCR newcomers Conor O’Gara and Jane Cassidy through their paces with today’s case before we sit down with our Adult in the Room - Dr Mustafa Mehmood, Consultant in Emergency Medicine in St James’s Hospital, and architect of the department’s ‘Code Hip 240’  protocol. As always, don’t forget to follow us on socials on ⁠instagram⁠, ⁠twitter ⁠and ⁠facebook ⁠to keep updated with all things TCR. Coffee in hand? Right then, let’s get to it!