AFEM fascia iliaca block

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Anatomy for Emergency Medicine. The anatomical basis of the femoral nerve and fascia iliaca blocks for femoral neck fractures. Video and notes here http://anatomyforemergencymedicine.wordpress.com/?p=136

Healthcare Health & Medicine Technology

$EmergencyMedicineIreland.com http://radiopaedia.org/cases/femoral-neck-fracture-1 the case •sweet little old granny •found on the ﬂoor •frail ++ •obvious deformity •narcotized after one dose...$

EmergencyMedicineIreland.com
nerve block

EmergencyMedicineIreland.com
hilton’s Law
the joint is innervated by the
nerves that supply the muscles
crossing the joint
=
joint innervation

EmergencyMedicineIreland.com
gluteals = sciatic quads = femoral adductors = obturator
extensors/abductors adductorsﬂexors

EmergencyMedicineIreland.com
http://www.ncbi.nlm.nih.gov/pubmed/9479711
the 3 in 1 block
do we need all 3?
femoral
obturator
lateral cutaneous

EmergencyMedicineIreland.comhttp://commons.wikimedia.org/wiki/File:Hip_replacement,_surgical_staples_01.JPG
lat femoral cutaneous
lat femoral cutaneous
lat femoral cutaneous
lat femoral cutaneous
lat femoral cutaneous

EmergencyMedicineIreland.com
fascia iliaca
compartment block

EmergencyMedicineIreland.com
femoral
femoral
obturator
obturator
can we get the obturator?

EmergencyMedicineIreland.com
Femur
Fem
ur
http://www.nysora.com/updates/3107-ultrasound-guided-fascia-iliaca-block.html

EmergencyMedicineIreland.com
ASIS pubic symphysis
vein
artery
iliopsoas
fem nv

EmergencyMedicineIreland.com
http://www.ultrasoundpodcast.com/2012/03/episode-24-femoral-nerve/

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