Perioperative management of elderly patients presenting with hip fracture during COVID 19 pandemic surge

•Patients with hip fracture and COVID-19 infection may have higher combined morbidity and mortality•Universal testing with high level of clinical judgment should be used•Appropriate timing of surgery vs non-surgical approach should be decided based on risk and severity of COVID-19 and underlying medical condition•Universal contact and droplet as well as aerosol precautions, when needed, should be utilized•Optimal surgery and anesthesia techniques should be chosen, with regional preferred over general anesthesia