Analgesia in the Emergency Department for Lower Leg and Knee Injuries: A Case Report
Introduction: Lower extremity injuries are commonly evaluated and treated in the emergency department (ED). Pain management for these injuries often consists of acetaminophen, non-steroidal anti-inflammatories, and opioids. Despite this treatment regimen, adequate analgesia is not always achieved. C...
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| Format: | Article |
| Language: | English |
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eScholarship Publishing, University of California
2025-01-01
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| Series: | Clinical Practice and Cases in Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/7j79g812 |
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| author | Michael Shalaby Yonhoon Lee Joseph McShannic Michael Rosselli |
| author_facet | Michael Shalaby Yonhoon Lee Joseph McShannic Michael Rosselli |
| author_sort | Michael Shalaby |
| collection | DOAJ |
| description | Introduction: Lower extremity injuries are commonly evaluated and treated in the emergency department (ED). Pain management for these injuries often consists of acetaminophen, non-steroidal anti-inflammatories, and opioids. Despite this treatment regimen, adequate analgesia is not always achieved. Case Report: A 38-year-old man presented to the ED with a non-displaced tibia-fibula fracture. The patient did not attain analgesia with intravenous medications but did get complete anesthesia of his lower leg with a combination saphenous and popliteal sciatic nerve block. Conclusion: Emergency physicians possess the skill set required to effectively perform a saphenous and popliteal sciatic nerve block and should consider adding this procedure to their armamentarium of pain management techniques in treating injuries distal to the knee. |
| format | Article |
| id | doaj-art-6855d5d327cb4b1c81d30339a4607e1a |
| institution | Kabale University |
| issn | 2474-252X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Clinical Practice and Cases in Emergency Medicine |
| spelling | doaj-art-6855d5d327cb4b1c81d30339a4607e1a2025-02-04T17:35:18ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2025-01-0191101310.5811/cpcem.7201cpcem-9-10Analgesia in the Emergency Department for Lower Leg and Knee Injuries: A Case ReportMichael Shalaby0Yonhoon Lee1Joseph McShannic2Michael Rosselli3Herbert Wertheim College of Medicine at Florida International University, Department of Emergency Medicine, Miami Beach, FloridaMount Sinai Medical Center Miami Beach, Department of Emergency Medicine, Miami Beach, FloridaMount Sinai Medical Center Miami Beach, Department of Emergency Medicine, Miami Beach, FloridaMount Sinai Medical Center Miami Beach, Department of Emergency Medicine, Miami Beach, FloridaIntroduction: Lower extremity injuries are commonly evaluated and treated in the emergency department (ED). Pain management for these injuries often consists of acetaminophen, non-steroidal anti-inflammatories, and opioids. Despite this treatment regimen, adequate analgesia is not always achieved. Case Report: A 38-year-old man presented to the ED with a non-displaced tibia-fibula fracture. The patient did not attain analgesia with intravenous medications but did get complete anesthesia of his lower leg with a combination saphenous and popliteal sciatic nerve block. Conclusion: Emergency physicians possess the skill set required to effectively perform a saphenous and popliteal sciatic nerve block and should consider adding this procedure to their armamentarium of pain management techniques in treating injuries distal to the knee.https://escholarship.org/uc/item/7j79g812 |
| spellingShingle | Michael Shalaby Yonhoon Lee Joseph McShannic Michael Rosselli Analgesia in the Emergency Department for Lower Leg and Knee Injuries: A Case Report Clinical Practice and Cases in Emergency Medicine |
| title | Analgesia in the Emergency Department for Lower Leg and Knee Injuries: A Case Report |
| title_full | Analgesia in the Emergency Department for Lower Leg and Knee Injuries: A Case Report |
| title_fullStr | Analgesia in the Emergency Department for Lower Leg and Knee Injuries: A Case Report |
| title_full_unstemmed | Analgesia in the Emergency Department for Lower Leg and Knee Injuries: A Case Report |
| title_short | Analgesia in the Emergency Department for Lower Leg and Knee Injuries: A Case Report |
| title_sort | analgesia in the emergency department for lower leg and knee injuries a case report |
| url | https://escholarship.org/uc/item/7j79g812 |
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