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Block them when it hurts
Authors Slagt C , van Geffen G
Received 3 September 2015
Accepted for publication 5 September 2015
Published 9 November 2015 Volume 2015:8 Pages 93—94
DOI https://doi.org/10.2147/LRA.S95699
Checked for plagiarism Yes
Editor who approved publication: Dr Stefan Wirz
C Slagt, GJ van Geffen
Department of Anesthesiology, Pain and Palliative Care, Radboud University Medical Centre, Nijmegen, the Netherlands
We read the article by Gadsden and Warlick with great interest.1 Good, patient-tailored pain relief is critical in all patients, but as stated by the authors, it is often suboptimal in trauma patients. Because of this, a trial was performed in collaboration with emergency medical service (EMS)-nurses in the South East Brabant Region, Eindhoven, the Netherlands.2
View the original article by Slagt and van Geffen
Dear editor
We read the article by Gadsden and Warlick with great interest.1 Good, patient-tailored pain relief is critical in all patients, but as stated by the authors, it is often suboptimal in trauma patients. Because of this, a trial was performed in collaboration with emergency medical service (EMS)-nurses in the South East Brabant Region, Eindhoven, the Netherlands.2 Patients with a proximal femur fracture are often difficult to transfer from the accident scene. Well-trained EMS-nurses performed a fascia iliaca compartment (FIC) block at the scene. Pain scores reduced by more than 50%. Transfer dynamic pain scores were reduced to 3–4 (out of 10), with very high patient satisfaction scores. This study showed that FIC block is easy to learn and very effective. This form of regional anesthesia can be safely used at the accident site to improve patient comfort.
Disclosure
The authors report no conflicts of interest in this communication.
References
Gadsden J, Warlick A. Regional anesthesia for the trauma patient: improving patient outcomes. Local Reg Anesth. 2015;8:45–55. | |
Dochez E, van Geffen GJ, Bruhn J, Hoogerwerf N, van de Pas H, Scheffer G. Prehospital administered fascia iliaca compartment block by emergency medical service nurses, a feasibility study. Scand J Trauma Resusc Emerg Med. 2014;22:38. |
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