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Hematoma Block
Aka: Hematoma Block, Fracture Infiltration with Local Anesthetic
- See Also
- Regional Anesthesia (Nerve Block)
- Local Skin Anesthesia
- Field Block
- Hematoma Block
- Digital Block
- Point of Care Ultrasound (POCUS)
- Indications
- Clean, closed Fracture site
- Fracture sites where Hematoma Block used
- Distal Radius Fracture
- Phalanx Fracture
- Ankle Fracture (by orthopedics)
- Contraindications
- Contaminated area or open Fracture
- Young children
- Protocol
- Clean and prep area with betadine or hibiclens
- Identify hematoma by aspirating blood
- Flash back of blood from Fracture site usually seen
- Inject Lidocaine 1-2% without Epinephrine into Fracture site
- Aspirate blood from Fracture site after injection
- Reinject with aspirated fluid a few times
- Blood Volume aspirated equals initial Lidocaine vol.