The goal of this prospective observational study is to compare pain control strategies in children with femur fractures. Researchers will compare ultrasound-guided fascia iliaca compartment nerve block to IV pain control alone. The main questions it aims to answer are: * Are ultrasound-guided fascia iliaca compartment nerve blocks as effective as IV pain control in controlling pain? * Do patients who receive an ultrasound-guided fascia iliaca compartment nerve block require less opioid pain medication than those that don't? Participants will be asked to provide pain scores during their Emergency Department stay. Participants parents will be asked to complete a brief survey at the time their child is leaving the Emergency Department.
Study Type
OBSERVATIONAL
Enrollment
114
Patient's who receive this intervention will have an ultrasound-guided fascia iliaca compartment nerve block performed in the Emergency Department.
University of California, San Diego
San Diego, California, United States
University of California, San Fransisco
San Francisco, California, United States
Denver Health and Hospital Authority
Denver, Colorado, United States
Yale University
New Haven, Connecticut, United States
Emory University
Atlanta, Georgia, United States
UMass
Worcester, Massachusetts, United States
University of Michigan
Ann Arbor, Michigan, United States
Medical University of South Carolina
Charleston, South Carolina, United States
Children's Hospital of the King's Daughters
Norfolk, Virginia, United States
Gold Coast Hospital and Health Service
Southport, Queensland, Australia
60 Minute Pain Score
Self reported pain score using the Faces Pain Scale-Revised. Values range from 1-10 (10 means a worse outcome).
Time frame: 60 minutes after enrollment.
240 Minute Pain Score
Self reported pain score using the Faces Pain Scale-Revised. Values range from 1-10 (10 means a worse outcome).
Time frame: 240 minutes after enrollment.
Oral Morphine Equivilents
Opioid medications received. All opioids will be converted to oral morphine equivilents using the opioid equianalgesic calculator developed the Faculty of Pain Medicine, Australian and New Zealand College of Anesthetists (FPM ANZCA).
Time frame: From admission to the emergency department to hospital discharge, up to 72 hours.
Parental Satisfaction
Participants parents/guardians will be asked to complete a satisfaction survey.
Time frame: From admission to the emergency department to discharge from the emergency department, up to 72 hours.
Percentage of Patients Experiencing Adverse Events
Adverse events and complications will be recorded
Time frame: From admission to the emergency department to hospital discharge, up to 72 hours.
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