Title: Fascia Iliac Block for Hip Fractures<br/>Author: Alexis Salerno<br/><a href='http://umem.org/profiles/faculty/1403/'>[Click to email author]</a><hr/><p>
<span style="font-family:times new roman,times,serif;"><span style="font-size:12px;"><span class="TextRun SCXW53226290 BCX8" data-contrast="none" lang="EN-US" style="background-color: transparent; white-space-collapse: preserve; margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; color: rgb(33, 33, 33); line-height: 25.9px;" xml:lang="EN-US"><span class="NormalTextRun SCXW53226290 BCX8" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">The use of a fascia </span><span class="NormalTextRun SpellingErrorV2Themed SCXW53226290 BCX8" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; background-repeat: repeat-x; background-position: left bottom; background-image: var(--urlSpellingErrorV2, url('data:image/svg+xml;base64,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')); border-bottom: 1px solid transparent;">iliaca</span><span class="NormalTextRun SCXW53226290 BCX8" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> compartment block has been shown to reduce pain, decrease length of stay and decrease the opiate requirements for patients with hip fractures. </span></span><span class="EOP SCXW53226290 BCX8" data-ccp-props="{"201341983":0,"335551550":0,"335551620":0,"335559739":160,"335559740":259}" style="background-color: transparent; white-space-collapse: preserve; margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; line-height: 25.9px; color: rgb(33, 33, 33);"> </span></span></span></p>
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<span style="font-family:times new roman,times,serif;"><span style="font-size:12px;"><span class="EOP SCXW53226290 BCX8" data-ccp-props="{"201341983":0,"335551550":0,"335551620":0,"335559739":160,"335559740":259}" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; line-height: 25.9px; color: rgb(33, 33, 33);"> </span></span></span></p>
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<p class="Paragraph SCXW53226290 BCX8" lang="EN-US" paraeid="{ca2bdf9c-cc01-4289-ad74-c0dcf51c92dc}{252}" paraid="692231278" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow-wrap: break-word; white-space-collapse: preserve; vertical-align: baseline; font-kerning: none; background-color: transparent; color: windowtext;" xml:lang="EN-US">
<span style="font-family:times new roman,times,serif;"><span style="font-size:12px;"><span class="TextRun SCXW53226290 BCX8" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; color: rgb(33, 33, 33); line-height: 25.9px;" xml:lang="EN-US"><a href="https://www.thepocusatlas.com/lower-extremity-blocks#fem">Check out this page</a> on how to perform this procedure. </span><span class="EOP SCXW53226290 BCX8" data-ccp-props="{"201341983":0,"335551550":0,"335551620":0,"335559739":160,"335559740":259}" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; line-height: 25.9px; color: rgb(33, 33, 33);"> </span></span></span></p>
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<span style="font-family:times new roman,times,serif;"><span style="font-size:12px;"><span class="EOP SCXW53226290 BCX8" data-ccp-props="{"201341983":0,"335551550":0,"335551620":0,"335559739":160,"335559740":259}" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; line-height: 25.9px; color: rgb(33, 33, 33);"> </span></span></span></p>
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<p class="Paragraph SCXW53226290 BCX8" lang="EN-US" paraeid="{61ec8cb6-52e5-468a-be00-0e695d8a0717}{3}" paraid="1373124991" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow-wrap: break-word; white-space-collapse: preserve; vertical-align: baseline; font-kerning: none; background-color: transparent; color: windowtext;" xml:lang="EN-US">
<span style="font-family:times new roman,times,serif;"><span style="font-size:12px;"><span class="TextRun SCXW53226290 BCX8" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; color: rgb(33, 33, 33); line-height: 25.9px;" xml:lang="EN-US">Fascia iliac blocks can be challenging to implement routinely in the emergency department. Studies show that 2.5% of eligible patients, despite departmental implementation, receive a block. </span><span class="EOP SCXW53226290 BCX8" data-ccp-props="{"201341983":0,"335551550":0,"335551620":0,"335559739":160,"335559740":259}" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; line-height: 25.9px; color: rgb(33, 33, 33);"> </span></span></span></p>
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<span style="font-family:times new roman,times,serif;"><span style="font-size:12px;"><span class="EOP SCXW53226290 BCX8" data-ccp-props="{"201341983":0,"335551550":0,"335551620":0,"335559739":160,"335559740":259}" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; line-height: 25.9px; color: rgb(33, 33, 33);"> </span></span></span></p>
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<p class="Paragraph SCXW53226290 BCX8" lang="EN-US" paraeid="{61ec8cb6-52e5-468a-be00-0e695d8a0717}{9}" paraid="399472255" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; overflow-wrap: break-word; white-space-collapse: preserve; vertical-align: baseline; font-kerning: none; background-color: transparent; color: windowtext;" xml:lang="EN-US">
<span style="font-family:times new roman,times,serif;"><span style="font-size:12px;"><span class="TextRun SCXW53226290 BCX8" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; color: rgb(33, 33, 33); line-height: 25.9px;" xml:lang="EN-US">One recently published article showed that large scale multi-disciplinary implementation can increase the use of fascia iliac blocks. After implementation, the study team found that 54% of eligible patients received a fascia iliac block. </span><span class="EOP SCXW53226290 BCX8" data-ccp-props="{"201341983":0,"335551550":0,"335551620":0,"335559739":160,"335559740":259}" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; line-height: 25.9px; color: rgb(33, 33, 33);"> </span></span></span></p>
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<span style="font-family:times new roman,times,serif;"><span style="font-size:12px;"><span class="EOP SCXW53226290 BCX8" data-ccp-props="{"201341983":0,"335551550":0,"335551620":0,"335559739":160,"335559740":259}" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; line-height: 25.9px; color: rgb(33, 33, 33);"> </span></span></span></p>
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<span style="font-family:times new roman,times,serif;"><span style="font-size:12px;"><span class="TextRun SCXW53226290 BCX8" data-contrast="none" lang="EN-US" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; color: rgb(33, 33, 33); line-height: 25.9px;" xml:lang="EN-US"><span class="NormalTextRun SCXW53226290 BCX8" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">This article is interesting as it </span><span class="NormalTextRun SCXW53226290 BCX8" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;">provides</span><span class="NormalTextRun SCXW53226290 BCX8" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent;"> helpful resources including physician and nursing protocols for performing this block.</span></span><span class="EOP SCXW53226290 BCX8" data-ccp-props="{"201341983":0,"335551550":0,"335551620":0,"335559739":160,"335559740":259}" style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; line-height: 25.9px; color: rgb(33, 33, 33);"> </span></span></span></p>
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<fieldset><legend>References</legend>
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<span style="color: rgb(33, 33, 33); font-family: BlinkMacSystemFont, -apple-system, "Segoe UI", Roboto, Oxygen, Ubuntu, Cantarell, "Fira Sans", "Droid Sans", "Helvetica Neue", sans-serif; font-size: 16px;">Downs T, Jacquet J, Disch J, Kolodychuk N, Talmage L, Krizo J, Simon EL, Meehan A, Stenberg R. Large-scale Implementation of Fascia Iliaca Compartment Blocks in an Emergency Department. West J Emerg Med. 2023 May 3;24(3):384-389. doi: 10.5811/westjem.58793. PMID: 37278790; PMCID: PMC10284502.</span></p>
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