Authors

1Javier Fernández Eito, 1Rosario Leyre Escobedo Romero, 2David Nagore Setién

Position

¹ Enfermero/a. Complejo Hospitalario de Navarra. Servicio de Ambulancias de la Asociación DYA. Navarra.² Licenciado en Medicina. Médico Adjunto del Departamento de Anestesia, Reanimación y Terapia del Dolor.  Complejo Hospitalario de Navarra.  Servicio de Ambulancias de la Asociación DYA. Navarra.

Contact address

Javier Fernández Eito. Avda. Pamplona, 16, 5ºC. 31010 Barañáin (Navarra).

Abstract

Out-of-hospital Emergency Services (OES) often face situations with acute conditions, where it is necessary to alleviate or reduce intense pain, in order to provide the highest comfort to the patient under care. The use of the Femoral Nerve Block (FNB) technique in an OES is presented here. To that aim, a real clinical case is described, about a female patient with a closed femur fracture to whom said technique was applied, according to the various recommendations in scientific literature consulted and the evidence. FNB is highlighted as a safe and viable analgesic option to be applied in the out-of-hospital setting, for management of pain in stable patients with femur fracture. This article intends to make public the application of the FNB technique in OES, with the aim to encourage its use. Both the practical experience of the clinical case presented and the evidence consulted demonstrate that a correct use of analgesic techniques through perineural blocks can ensure better levels of comfort for patients during immobilization, collection, transport and subsequent referral. 

Keywords:

Femur fracture; femoral nerve block; pain control; nursing careout-of-hospital care

Versión en Español

Título:

El bloqueo nervioso femoral en la atención extrahospitalaria