Podcast 603: Don't Sedate. Block.

<p><strong>Contributor: Don Stader, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;"><span style= "font-weight: 400;">F</span><span style= "font-weight: 400;">ractures and dislocations that require reduction do not necessarily require sedation </span></li> <li><span style="font-weight: 400;">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</span></li> <li style="font-weight: 400;"><span style= "font-weight: 400;">Hematoma blocks are effective for distal radius and various ankle fractures</span></li> <li style="font-weight: 400;"><span style= "font-weight: 400;">Shoulder dislocations can be reduced by performing a scapular nerve block</span></li> </ul> <p><strong>References</strong></p> <p><span style="font-size: 10pt;"><span style= "font-weight: 400;">Tezel O, Kaldirim U, Bilgic S, Deniz S, Eyi YE, Ozyurek S, Durusu M, Tezel N.</span> <a href= "https://pubmed.ncbi.nlm.nih.gov/24721024/"><span style= "font-weight: 400;">A comparison of suprascapular nerve block and procedural sedation analgesia in shoulder dislocation reduction.</span></a> <span style="font-weight: 400;">Am J Emerg Med. 2014 Jun;32(6):549-52. doi: 10.1016/j.ajem.2014.02.014. Epub 2014 Feb 17. PMID: 24721024.</span></span></p> <p><span style="font-size: 10pt;"><span style= "font-weight: 400;">Tseng PT, Leu TH, Chen YW, Chen YP.</span> <a href="https://pubmed.ncbi.nlm.nih.gov/29580286/"><span style= "font-weight: 400;">Hematoma block or procedural sedation and analgesia, which is the most effective method of anesthesia in reduction of displaced distal radius fracture?</span></a> <span style="font-weight: 400;">J Orthop Surg Res. 2018 Mar 27;13(1):62. doi: 10.1186/s13018-018-0772-7. PMID: 29580286; PMCID: PMC5869786.</span></span></p> <p><span style="font-size: 10pt;"><em><span style= "font-weight: 400;">Summarized by Jackson Roos, MS4 | Edited by Erik Verzemnieks, MD</span></em></sp