Who to block and who not to block? Guidelines for Emergency ...
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Who to block and who not to block? Guidelines for Emergency Regional Anesthesiafor Trauma Orthopedic Injuries

Block OK

 • Shoulder dislocation

 • Clavicle fracture

 • Proximal humerus fracture

 • Low energy distal radius fracture

 • Hand and digit injuries

 • Hip fracture and dislocation

 • Low foot and ankle fractures

Contact orthopedic surgery as soon as possible for any patients to be admitted or patients who will require in ED consultation, but do not delay block placement



Block after Consultation

 • Humeral shatt fracture

 • Elbow fracture

 • Both bone forearm fracture

 • Femoral shaft fracture

Perform and document detailed neurologic examand consult with orthopedic service before block is placed.



NO Block - High risk for compartment syndrome

 • Tibial fracture

 • High emergency forearm fracture

 • High Energy foot fracture

 • Any injury with evidence of neurovascular injury or clinical concem tor a possible compartment syndrorne

Perform a block only after requested by Trauma and Orthopedic service attending.



Dr. Cian Mcdermott @cianmcdermott



#NerveBlock #Indications #Contraindications #Orthopedics #Management #Regional #Anesthesia #Trauma
Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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