get real, says management: oh well, it's only an old person, unlikely to create a fuss or have someone create one for him/her; so who cares? shock, haemorrhage, fat embolism, pneumonia, hypothermia, dehydration....not worth spending money on, are they? very often, even if they escape the worst of the complications, they'll be so shaken up that they won't be able to go back to independent living; they'll only block a bed for us for weeks.