Block It Like Itās Hot: Regional Anesthesia, Pain Medicine & POCUS S3:E3 "Somebody call 911! Nerve blocks in the ER šØ"
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Mar 14, 2025 Join Dr. Arun Nagdev, an emergency physician and ultrasound education leader, and Dr. Andrew Goldsmith, a prominent figure in emergency ultrasound, as they delve into the transformative impact of ultrasound-guided nerve blocks in the ER. They discuss immediate patient relief, the challenges of adopting these techniques, and the growing interest in hands-on training across emergency departments. Learn about innovative educational initiatives like 'Blockheads,' and hear about their latest findings on safety and efficacy from a national registry. Plus, expect some lighthearted jokes!
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Early Self-Taught Block Experience
- Arun Nagdev recalled learning ultrasound-guided nerve blocks two decades ago from early pioneers and self-teaching with a small book and scanning brachial plexuses.
- He used blocks to provide timely pain control for patients waiting 12ā14 hours in a busy county hospital.
Fascia Iliaca Hooked A Career
- Andrew Goldsmith described getting hooked after one or two fascia iliaca blocks due to immediate patient satisfaction.
- That early success spurred program development and collaboration with Arun on sciatica applications.
Rapid Adoption In Academic EDs
- Andrew and Arun found nerve block programs in most academic EDs and saw growth over time.
- A 2016 survey showed wide adoption and a 2023 follow-up found 100% of surveyed academic institutions had nerve block programs.