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Home > Emergency Medical Minute > Podcast 603: Don't Sedate. Block.
Podcast: Emergency Medical Minute
Episode:

Podcast 603: Don't Sedate. Block.
Category: Science & Medicine
Duration: 00:03:06
Publish Date: 2020-10-12 10:00:00
Description:

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

 

The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at www.emergencymedicalminute.com/cme-courses/ and create an account. 
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