What is everyone's take on gastroparesis following trauma? Consider an otherwise healthy patient, PMH only of "mild GERD, takes OTC prilosec sometimes", reports he has been NPO since breakfast at 09:30, slipped and fell from his deck at 13:30 and presents at 21:30 in the holding area for a quick IM tibia nail per your ortho service. Are you concerned about significant gastroparesis following his fall, effectively making him only 4 hours NPO (09:30-13:30)? Or would you proceed as if he were NPO 12 hrs? ETT? LMA? Neuraxial/regional? Just wondering because we turned a potentially very easy case into an, uh.. "educational experience" tonight.