The Importance of Regional Nerve Blocks in Trauma Centers

In terms of the goals of analgesia for the older patient with rib fractures, I love that simple rule. In terms of your options for getting their pain under control, you start with a seat of minifen, move up to NSAIDs, then move up to opioids, and then moveUp to ketamine. If you are trained to do regional nerve block, which many emergency physicians actually are, then I suppose that's something you can do right off the bat and it's probably the best option. That's one of the nice things about having an interdisciplinary team. Surgeons very rarely know how to do those, but you guys are wizards. You just got to get the pain