Emergency Physician-performed Ultrasound-guided Femoral Nerve Blocks in Patients With Hip Fractures.

In this prospective study, emergency physicians perform ultrasound-guided femoral nerve block for patients with hip fractures. We compare the effectiveness of analgesia and patient satisfaction of ultrasound-guided femoral nerve block with liberal use of the pain medication in the emergency department. The primary outcome is the assessment of time to relief the pain with fewer adverse effects and less rescue pain medication use. The secondary outcome is patient satisfaction with pain management.

Patients with hip fractures had underwent Ultrasound-guided femoral nerve block performed by emergency physicians.

Patients with hip fractures had given intravenous or intramuscular opioids or NSAID at the emergency department.

The difference of patient satisfaction between ultrasound-guided femoral nerve block and the liberal use of pain medication

Inclusion Criteria: Patients older than 20-year-old with hip fractures Stay in the emergency department for at lease two hours Exclusion Criteria: hemodynamic unstable major trauma in addition to hip fractures the use of any pain management before the arrival of emergency department chronic opioid use inability to understood the numerical rating scale after instruction allergy to local anesthetics coagulopathy injection site infection