Surgery Book

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Hematoma Block

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  1. Indications
    1. Clean, closed Fracture site
    2. Fracture sites where hematoma block used
      1. Distal Radius Fracture
      2. Phalanx Fracture
      3. Ankle Fracture (by orthopedics)
  2. Contraindications
    1. Contaminated area or open Fracture
    2. Young children
  3. Protocol
    1. Clean and prep area with betadine or hibiclens
    2. Inject Lidocaine 1-2% without epi into Fracture site
      1. Flash back of blood from Fracture site usually seen
    3. Aspirate blood from Fracture site after injection
    4. Reinject with aspirated fluid a few times
      1. Blood volume aspirated equals initial Lidocaine vol.

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