Block It Like It’s Hot: Regional Anesthesia, Pain Medicine & POCUS

S3:E3 "Somebody call 911! Nerve blocks in the ER 🚨"

6 snips
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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ADVICE

Communicate Block Handoffs To Inpatient Teams

  • Communicate clearly between ED, anesthesia, and admitting services about block details, expected duration, and plans for catheters.
  • Establish policies so inpatient teams can anticipate analgesic needs and continue multimodal care safely.
ADVICE

Use 'Tube And Lube' Rotations

  • Run cross-disciplinary rotations so trainees practice both airways and ultrasound (a 'tube and lube' rotation).
  • Shared clinical time builds relationships and practical skills that improve joint care.
ANECDOTE

Blockheads: From Chats To Courses

  • Arun described founding Blockheads as monthly conversations turned into courses to build a community and scale ED nerve block education.
  • They now run inexpensive, full-day courses (with CME) and even host sessions at breweries to increase access and engagement.
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