#1: Block Better – How to Make POCUS Nerve Blocks Last Longer
Spoon Feed —
Dexamethasone is associated with improved pain control within 60 minutes as an adjunct to ultrasound-guided nerve blocks (UGNBs) when compared to epinephrine, without an increased risk of complications.
Source
Efficacy and Safety of Adjunct Medications in ED Ultrasound-Guided Nerve Blocks: A National Ultrasound-Guided NeRVE (NURVE) Block Registry Study. Acad Emerg Med. 2025 Aug 27. doi: 10.1111/acem.70128. Epub ahead of print. PMID: 40873157.
#2: How to Do a New Regional Block for Rib Fractures
Spoon Feed —
For patients with traumatic rib fractures, the erector spinae plane block (ESPB) is a reasonable procedure to add to your multimodal pain management and can be completed by resident physicians safely with appropriate supervision.
Source
Ultrasound-guided erector spinae plane block for traumatic rib fractures: A feasible method of analgesia for the nonspecialized emergency physician. Injury. 2025 Sep;56(9):112569. doi: 10.1016/j.injury.2025.112569. Epub 2025 Jul 1. PMID: 40628600.
