Oh, sure. From U/S experience I would guess that transarterial method was probably the most likely to work. Never did one, but was taught the concept and it looks like it would work.
Did femorals and popliteals by stim, it was quicker than ultrasound. Now that we have ultrasound everywhere, there’s no reason not to use it.
Residency 06-09.
One facility I worked at had a family medicine guy who was in the National Guard who asked me about field treatment. I mentioned Valium rather than Versed for reducing dislocations and fractures, and said that he really should find someone to teach him interscalenes by stim, I would teach him popliteals. Just to get those ankle fractures and dislocated shoulders comfortable until they could be evacuated (this is training, not combat, so plenty of troops don’t get moved until next day at least). Unfortunately this was as U/S was really becoming standard of care so it would be hard to justify teaching stim for a brachial plexus block - but he can’t fit that u/s in a field kit.
Did femorals and popliteals by stim, it was quicker than ultrasound. Now that we have ultrasound everywhere, there’s no reason not to use it.
Residency 06-09.
One facility I worked at had a family medicine guy who was in the National Guard who asked me about field treatment. I mentioned Valium rather than Versed for reducing dislocations and fractures, and said that he really should find someone to teach him interscalenes by stim, I would teach him popliteals. Just to get those ankle fractures and dislocated shoulders comfortable until they could be evacuated (this is training, not combat, so plenty of troops don’t get moved until next day at least). Unfortunately this was as U/S was really becoming standard of care so it would be hard to justify teaching stim for a brachial plexus block - but he can’t fit that u/s in a field kit.