I'm Anton Hellman.

I'm Justin Morganstern.

And I'm Rory Spiegel.

And this is the journal jam podcast.

Why ED regional nerve blocks for hip fractures?

This isn't a classic EBM topic.

It isn't even a medical myth.

I mean, we love covering myths on journal jam.

It's not even particularly exciting.

So, Justin, why this topic?

You know, I think this is a good topic for a couple reasons. And I think the evidence is

messier than what we thought when we originally went at this topic. But what we really wanted,

so often in evidence-based medicine, were negative. So I think this is a good topic to show us

how evidence-based medicine can have, you know, a real positive impact on our patients,

even if it's for what seems like a pretty small question. And then second, because the evidence isn't perfect, I mean,

really no evidence is perfect. I think this is a really good example of evidence-based medicine

in the real world. So I think it gives us a good opportunity to just talk about what we do in the face of

imperfect evidence, basically every day in our practice. Yeah. And in this case, you know,

pain management is all the rage these days with the opiate epidemic still raging. And we shouldn't

expect zero pain in all our emergency department patients. But oligo analgesia is still a problem in the emergency department, especially in our older patients.

Yeah, I understand that there's a few pretty good papers showing exactly that, that, you know, we don't do a

great job with pain control, especially in the elderly.

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