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B118 Peripheral nerve blocks in the emergency department: breaking barriers to providing point of care regional anaesthesia (POCRA) in east midlands, UK
  1. F Moosa1,
  2. N Sadavarte2 and
  3. A Hassan2
  1. 1University Hospitals of Leicester NHS Trust, Leicester, UK
  2. 2Nottingham University Hospitals NHS Trust, Nottingham, UK


Background and Aims Ultrasound-guided nerve block (UGNB) is an extremely useful technique for emergency physicians as a multimodal approach to the acutely injured patient. It reduces the overreliance on systemic opioids and avoids the side effects of procedural sedation. Despite these advantages, the current practices in the UK are not yet well established except for fascia iliaca blocks for the neck of femur fractures. We aimed to deliver regular well-structured peripheral nerve block courses to improve the skills and competence of UGRB among emergency medicine trainees in East Midlands, UK.

Methods After reviewing the training curriculum from the Royal College of Emergency Medicine (RCEM), we were reassured that regional anaesthesia is in keeping with more than one element of the current curriculum. A business plan was created and regular funding was granted by Health Education East Midlands. Course topics were meticulously selected by experienced anaesthesia and emergency medicine consultants. The majority of Plan A blocks were found to be relevant to the emergency department’s daily practices. Pre and post-course questionnaires were electronically distributed. The educational objectives were delivered using lecture-based knowledge sessions, needling techniques skill stations using phantom gel models and hands-on scanning experience on healthy volunteers.

Results 2 full-day courses were successfully delivered. The candidates’ engagement and feedback were excellent.

Conclusions The competence of UGNB among emergency medicine trainees is beneficial and should be a core component of their training. Our future work will involve strategies to maintain training and assessment and allow UGNB to be a routine practice at emergency departments in the UK.

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