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Analgesia in the Emergency Department for Lower Leg and Knee Injuries: A Case Report
Michael Shalaby1,2, Yonhoon Lee2, Joseph McShannic2
1Herbert Wertheim College of Medicine at Florida International University, Department of Emergency Medicine, Miami Beach, Florida.
Introduction:
Lower extremity injuries are commonly evaluated and treated in the emergency department (ED). Pain management for these injuries often consists of acetaminophen, non-steroidal anti-inflammatories, and opioids. Despite this treatment regimen, adequate analgesia is not always achieved.
Case Report:
A 38-year-old man presented to the ED with a non-displaced tibia-fibula fracture. The patient did not attain analgesia with intravenous medications but did get complete anesthesia of his lower leg with a combination saphenous and popliteal sciatic nerve block.
Conclusion:
Emergency physicians possess the skill set required to effectively perform a saphenous and popliteal sciatic nerve block and should consider adding this procedure to their armamentarium of pain management techniques in treating injuries distal to the knee.
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