Clear!!! In the exciting conclusion to our two-parter on blocks in emergency medicine, things get real as the co-hosts debate Arun and Andrew over the ideal block for hip fracture, a slick way to reduce a shoulder dislocation, cheeky femoral blocks, and the role of fascial plane blocks in the ED.

Links:

The sponsor of this episode is GE Healthcare Venue Family of Ultrasound Machines: https://tinyurl.com/gehealthcarevenue

Article on spontaneous reduction hip dislocation after PENG block: https://pubmed.ncbi.nlm.nih.gov/39781033/

Blockheads website: www.blockheads-em.com

5 Minute Sono: https://coreultrasound.com/5ms/

POCUS Atlas: https://www.thepocusatlas.com/

Amit and Jeff are joined by Dr. Robbie Erskine from Daaaarrby, UK, sharing his immense wealth of knowledge and experience (and which Bond film is his fave) on spinal anesthesia technique and how to make ambulatory spinals work for everyone!

Remember to email: info@pajunk.com and put "BILIH" in the subject line to receive a free set of Block Guru posters!

Link to the BJA Education article on neuraxial anesthesia in patients with challenging anatomy: https://www.bjaed.org/article/S2058-5349(23)00154-3/fulltext

Link to Robbie's review article on ambulatory spinal anesthesia:

https://www.bjaed.org/article/S2058-5349(19)30107-6/fulltext

Amit and Jeff are joined by two Emergency Medicine experts (and self-described Blockheads!) with a passion for keeping injured patients comfortable. Drs. Arun Nagdev and Andrew Goldsmith talk to us about the role of regional anesthesia in the ER, what blocks are high-impact, what exactly is meant by a "tube and lube rotation" for trainees, and more!

Link to the JAMA paper on regional anesthesia in the ER and complications: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2826105