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Old 07-23-2004, 08:05   #10
swatsurgeon
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Join Date: Jul 2004
Location: Phoenix, AZ
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hand nerve blocks

as promised here are some references for performing blocks.
What do you know, the military actually had some of the best articles on this!!
1) Thompson WL (CPT), Malchow RJ (LTC). Peripheral Nerve Blocks and Anesthesia of the Hand. Military Medicine June 2002;167p478-482
2) Calkins MD (MAJ), et al. Pain Management in the Special Operations Environment: Regional Anesthetics. Military Medicine March 2001;166: pp211-216.
If you don't have access to this journal I would be happy to fax/send a copy to you. They have excellent descriptions of the "how to and with what" for all hand and digital blocks.

www.nda.ox.ac.uk/wfsa/html/u11/u1112_01.htm is a site for lower extremity block techniques

for teeth, lidocaine jelly/paste 2% or ambisol...just ask our dental friends on line

www.nyerrn.com/er/procedures.htm for good references on all kinds of issues

www.aorn.org/journal/homestudy/jan02a.pdf for an overview of nerve blocks (RN perspective)
hope this helps...having more than 1 way to treat everything should be everyones goal...
he who wins , in medicine, has the most techniques at their disposal.
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )

Education is the anti-ignorance we all need to better treat our patients. ss, 2008.

The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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