Emergency Medical Minute12 Okt 2020

Podcast 603: Don't Sedate. Block.

Contributor: Don Stader, MD

Educational Pearls:

Fractures and dislocations that require reduction do not necessarily require sedation
Nerve blocks are an effective alternative that can provide analgesia to reduce fractures and dislocations and provide sustained pain relief after the reduction is completed
Hematoma blocks are effective for distal radius and various ankle fractures
Shoulder dislocations can be reduced by performing a scapular nerve block

References

Tezel O, Kaldirim U, Bilgic S, Deniz S, Eyi YE, Ozyurek S, Durusu M, Tezel N. A comparison of suprascapular nerve block and procedural sedation analgesia in shoulder dislocation reduction. Am J Emerg Med. 2014 Jun;32(6):549-52. doi: 10.1016/j.ajem.2014.02.014. Epub 2014 Feb 17. PMID: 24721024.

Tseng PT, Leu TH, Chen YW, Chen YP. Hematoma block or procedural sedation and analgesia, which is the most effective method of anesthesia in reduction of displaced distal radius fracture? J Orthop Surg Res. 2018 Mar 27;13(1):62. doi: 10.1186/s13018-018-0772-7. PMID: 29580286; PMCID: PMC5869786.

Summarized by Jackson Roos, MS4 | Edited by Erik Verzemnieks, MD

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