"On Arrival Block"-Management of Upper Extremity Trauma with Resuscitation in the Operating Room.

ABSTRACT: "On Arrival Block," wherein a brachial block is given to a severely injured upper extremity as the first step of the management protocol in the main operating room, bypassing the emergency department, has been found to be a "game changer" in trauma care. Immediate pain relief on arrival builds confidence in the system, allows pain-free initial examination, facilitates use of tourniquet if there are major bleeding wounds, and allows us to obtain good radiographs without an overlap of bones, which usually happens when the radiographs are taken within a bandage. Using the "On Arrival Block" system, emergency room assessment and resuscitation is bypassed. The patient is resuscitated only once, instead of twice. This avoids much duplication of effort, wasted time, patient suffering, unnecessary

SUBMITTER: Sabapathy SR 

PROVIDER: S-EPMC7647515 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature