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A Pain in the Hip: The Under-used Potential of Fascia Iliaca Compartment Block in the Prehospital Setting

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aut.relation.endpage108
aut.relation.issue1613
aut.relation.journalNew Zealand Medical Journal
aut.relation.startpage104
aut.relation.volume138
dc.contributor.authorMaessen, Sarah E
dc.contributor.authorLeach, Jon
dc.contributor.authorTodd, Verity F
dc.contributor.authorGarcia, Elena
dc.contributor.authorDicker, Bridget
dc.date.accessioned2025-05-16T00:06:20Z
dc.date.available2025-05-16T00:06:20Z
dc.date.issued2025-04-11
dc.descriptionFascia iliaca compartment block (FICB) is a technique for flooding the fascia iliaca compartment with local anaesthetic, resulting in blockade of the femoral and lateral cutaneous nerves. It has demonstrated potential as an alternative to opiates for perioperative pain management in shaft or neck of femur (NOF) fracture patients, with a favourable side effect profile.¹ Evidence for FICB in the prehospital setting is comparatively scarce, but it appears to be feasible, safe and effective when administered by emergency medical services (EMS) for proximal femoral fractures, with the majority of evidence from studies of emergency physicians, anaesthetists or nurses.² FICB was adopted into Aotearoa New Zealand EMS clinical practice guidelines for suspected femoral neck or proximal shaft fractures in late 2020.³ Despite promising results from a small trial (n=24) in Australia and a feasibility study in Wales,⁴ we are not aware of any previous studies looking at real-life implementation of paramedic-administered FICB in the prehospital setting. This study aims to describe characteristics and pain outcomes for patients who were administered FICB by Hato Hone St John (HHStJ) in a 1-year period and compare them with a cohort with similar injuries and no FICB.
dc.identifier.citationNew Zealand Medical Journal | Te ara tika o te hauora hapori. ISSN: 0028-8446 (Print); 1175-8716 (Online), Pasifika Medical Association, 138(1613), 104-108.
dc.identifier.doi10.26635/6965.6896
dc.identifier.issn0028-8446
dc.identifier.issn1175-8716
dc.identifier.urihttp://hdl.handle.net/10292/19210
dc.publisherPasifika Medical Association Group
dc.relation.urihttps://nzmj.org.nz/journal/vol-138-no-1613/a-pain-in-the-hip-the-under-used-potential-of-fascia-iliaca-compartment-block-in-the-prehospital-setting
dc.rights© PMA. Open Access. The New Zealand Medical Journal is fully available to individual subscribers and does not incur a subscription fee. This applies to both New Zealand and international subscribers.
dc.rights.accessrightsOpenAccess
dc.subject11 Medical and Health Sciences
dc.subjectGeneral & Internal Medicine
dc.subject32 Biomedical and clinical sciences
dc.subject42 Health sciences
dc.titleA Pain in the Hip: The Under-used Potential of Fascia Iliaca Compartment Block in the Prehospital Setting
dc.typeJournal Article
pubs.elements-id599371

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