UMEM Educational Pearls

Title: Nerve blocks for geriatric hip fractures

Category: Geriatrics

Keywords: hip fracture, nerve block, mortality, delerium (PubMed Search)

Posted: 11/4/2025 by Robert Flint, MD (Updated: 11/20/2025)
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In reviewing the limited literature available, the authors found that fascia iliaca blocks did not improve mortality but did improve hospital length of stay,  decreased opiate use, and decreased delirium rates. More research is needed, however this tool should be added to our multimodal pain control toolbox.

References

Does Point-of-Care Ultrasound-Guided Nerve Block for Geriatric HIP Fracture Analgesia in the Emergency Department Improve Outcomes?

Finch, Alexander S. et al.

Journal of Emergency Medicine, Volume 0, Issue 0