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SGEM Hot Off the Press: Regional Nerve Blocks for Hip and Femoral Neck Fractures: A Systematic Review.

Published on Jul 1, 2016
· DOI :10.1017/cem.2016.332
Sarah Luckett-Gatopoulos1
Estimated H-index: 1
,
Brent Thoma18
Estimated H-index: 18
+ 1 AuthorsChris Bond3
Estimated H-index: 3
Abstract
  • References (10)
  • Citations (7)
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References10
Newest
#1Brandon Ritcey (U of O: University of Ottawa)H-Index: 1
#2Paul Pageau (U of O: University of Ottawa)H-Index: 3
Last. Jeffrey J. Perry (U of O: University of Ottawa)H-Index: 33
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Objectives Hip and femoral neck fractures are common in elderly patients, who are at an increased risk of complications if their pain is suboptimally managed. This systematic review seeks to determine if regional nerve blocks reduce pain, reduce the need for parenteral opiates, and reduce complications, compared to standard pain management with opiates, acetaminophen, or NSAIDs. Data sources Systematic review of MEDLINE, EMBASE, CINAHL, and the Cochrane Central Register of Controlled Trials foun...
15 CitationsSource
#1N. Seth Trueger (U of C: University of Chicago)H-Index: 12
#2Brent Thoma (U of S: University of Saskatchewan)H-Index: 18
Last. Michelle Lin (UCSF: University of California, San Francisco)H-Index: 21
view all 6 authors...
HOW SCIENTIFIC JOURNALS WORK/SPECIAL CONTRIBUTION The Altmetric Score: A New Measure for Article-Level Dissemination and Impact N. Seth Trueger, MD, MPH*; Brent Thoma, MD, MA; Cindy H. Hsu, MD, PhD; Daniel Sullivan, MDiv; Lindsay Peters, BA; Michelle Lin, MD *Corresponding Author. E-mail: ntrueger@gmail.com, Twitter: @MDaware. 0196-0644/$-see front matter Copyright © 2015 by the American College of Emergency Physicians. http://dx.doi.org/10.1016/j.annemergmed.2015.04.022 HISTORICAL PERSPECTIVE T...
54 CitationsSource
#1Brent Thoma (U of S: University of Saskatchewan)H-Index: 18
#2Rohit Mohindra (McGill University)H-Index: 5
Last. Teresa M. Chan (McMaster University)H-Index: 19
view all 4 authors...
19 CitationsSource
#1Paul J. McRae (CSU: Charles Sturt University)H-Index: 1
#2Jason C. Bendall (CSU: Charles Sturt University)H-Index: 13
Last. Paul M. Middleton (UNSW: University of New South Wales)H-Index: 20
view all 4 authors...
Abstract Background Femoral (thigh) fractures are an important clinical problem commonly encountered by paramedics. These injuries are painful, and the need for extrication and transport adds complexity to the management of this condition. Whereas traditional analgesia involves parenteral opioids, regional nerve blockade for femoral fractures have been demonstrated to be effective when performed by physicians. Regional peripheral nerve blockade performed by paramedics may be suitable in the preh...
32 CitationsSource
#1Stefano Volpato (University of Ferrara)H-Index: 55
#2Jack M. Guralnik (UMB: University of Maryland, Baltimore)H-Index: 148
6 CitationsSource
#1Anwar Rashid (University of Oxford)H-Index: 1
#2Eleanor Beswick (University of Oxford)H-Index: 1
Last. Laurence Fitton (University of Oxford)H-Index: 3
view all 4 authors...
Introduction While the benefits of regional analgesia (RA) for preoperative pain relief in hip fracture (HF) in elderly patients are well recognised, this service is yet to be established in many UK emergency departments (EDs). We set out to discover how widely RA is adopted in the UK EDs. Methods In April–July 2010, we conducted a postal survey of 218 UK EDs, followed up with fax reminders for non-respondents. Results A total of 147/218 (67%) EDs completed the survey. Sixty five (44%) responden...
15 CitationsSource
#1Lynn Haslam (Sunnybrook Health Sciences Centre)H-Index: 9
#2Andrew K. Lansdown (Sunnybrook Health Sciences Centre)H-Index: 1
Last. Martin van der Vyver (Sunnybrook Health Sciences Centre)H-Index: 1
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Background In 2010-11 approximately 968 hip fracture patients presented to emergency departments in the Greater Toronto Local Health Integration Network (GTA-LHIN). Optimal pain management is a frequently overlooked aspect of hip fracture patient care, which may contribute to patient outcomes. Although recommendations have been published, there is currently not a standardized approach to the analgesic management of pain in the hip fracture patient. Nerve blocks, including the fascia iliaca compa...
20 CitationsSource
#1Chris Carpenter (WashU: Washington University in St. Louis)H-Index: 33
#2Michael E. Stern (NewYork–Presbyterian Hospital)H-Index: 7
Multidisciplinary orthogeriatric care can enhance prompt ED diagnosis, optimal pre-and postoperative care, and functional recovery in older adults with bony injuries. Emergency care providers should be cognizant of prevalent geriatric syndromes including delirium and standing level falls to minimize fracture-related morbidity. Recognizing the implications of aging physiology, acute care physicians should be aware of effective efficient alternatives to analgesia, procedural sedation, and definiti...
10 CitationsSource
#1R. Sean MorrisonH-Index: 38
#2Jay MagazinerH-Index: 62
Last. Albert L. Siu (ISMMS: Icahn School of Medicine at Mount Sinai)H-Index: 67
view all 8 authors...
Background. Delirium and pain are common following hip fracture. Untreated pain has been shown to increase the risk of delirium in older adults undergoing elective surgery. This study was performed to examine the relationship among pain, analgesics, and other factors on delirium in hip fracture patients. Methods. We conducted a prospective cohort study at four New York hospitals that enrolled 541 patients with hip fracture and without delirium. Delirium was identified prospectively by patient in...
464 CitationsSource
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Cited By7
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#1Simon Carley (University of Manchester)H-Index: 14
#2Iain BeardsellH-Index: 3
Last. Richard Body (University of Manchester)H-Index: 23
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Background Clinicians are increasingly using social media for professional development and education. In 2012, we developed the St.Emlyn’s blog, an open access resource dedicated to providing free education in the field of emergency medicine. Objective To describe the development and growth of this international emergency medicine blog. Method We present a narrative description of the development of St.Emlyn’s blog. Data on scope, impact and engagement were extracted from WordPress, Twitter and ...
7 CitationsSource
#1Teresa M. Chan (McMaster University)H-Index: 19
#2N. Seth Trueger (NU: Northwestern University)H-Index: 12
Last. Brent Thoma (U of S: University of Saskatchewan)H-Index: 18
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The integration of new knowledge into clinical practice continues to lag behind discovery. The use of Free Open Access Medical education (FOAM) has disrupted communication between emergency physicians, making it easy for practicing clinicians to interact with colleagues from around the world to discuss the latest and highest impact research. FOAM has the potential to decrease the knowledge translation gap, but the concerns raised about its growing influence are 1) research that is translated too...
31 CitationsSource
#2Rohit MohindraH-Index: 5
Last. Chris BondH-Index: 3
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#1Mohammad Amin (Derriford Hospital)H-Index: 16
#2Anthony T. Gough (Derriford Hospital)H-Index: 1
Last. Rathan Yarlagadda (Derriford Hospital)H-Index: 3
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Abstract Proximal femoral fractures are becoming increasingly common with an ageing population. Many patients have multiple comorbidities increasing their risk of opiate complications. 40 consecutive patients presenting with a proximal femoral fracture to a trauma centre in the UK were given either a Fascia Iliaca Block (FIB) with oral analgesia or just oral analgesia to control their pre-operative pain. Numeric pain scores and morphine consumption were used as outcome measures. Patients receivi...
6 CitationsSource
#1Katie Lin (U of C: University of Calgary)H-Index: 1
#2Kenneth Chan (U of C: University of Calgary)H-Index: 1
Last. Chris Bond (U of C: University of Calgary)H-Index: 3
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#1Paul McKenna (U of C: University of Calgary)H-Index: 1
#2Brent Thoma (U of S: University of Saskatchewan)H-Index: 18
Last. Chris Bond (U of C: University of Calgary)H-Index: 3
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Abstract As part of the Canadian Journal of Emergency Medicine's (CJEM) developing social media strategy, 1 we are collaborating with the Skeptics' Guide to Emergency Medicine (SGEM) to summarize and critically appraise the current emergency medicine (EM) literature using evidence-based medicine principles. In the "Hot Off the Press" series, we select original research manuscripts published in CJEM to be featured on the SGEM website/podcast 2 and discussed by the study authors and the online EM ...
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#1Eve PurdyH-Index: 7
#2Brent ThomaH-Index: 18
Last. Chris BondH-Index: 3
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Abstract As part of the Canadian Journal of Emergency Medicine's (CJEM) developing social media strategy, 1 we are collaborating with the Skeptics' Guide to Emergency Medicine (SGEM) to summarize and critically appraise the current emergency medicine (EM) literature using evidence-based medicine principles. In the "Hot Off the Press" series, we select original research manuscripts published in CJEM to be featured on the SGEM website/podcast and discussed by the study authors and the online EM co...
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