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Hematoma Block

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Hematoma Block, Fracture Infiltration with Local Anesthetic

  • Indications
  1. Clean, closed Fracture site
  2. Fracture sites where Hematoma Block used
    1. Distal Radius Fracture
    2. Phalanx Fracture
    3. Ankle Fracture (by orthopedics)
  • Contraindications
  1. Contaminated area or open Fracture
  2. Young children
  • Protocol
  1. Clean and prep area with betadine or hibiclens
  2. Identify hematoma by aspirating blood
    1. Flash back of blood from Fracture site usually seen
  3. Inject Lidocaine 1-2% without Epinephrine into Fracture site
  4. Aspirate blood from Fracture site after injection
  5. Reinject with aspirated fluid a few times
    1. Blood Volume aspirated equals initial Lidocaine vol.