Use and efficacy of haematoma blocks in managing closed reduction of distal radial fractures by emergency nurse practitioners: A matched case-control study design.
- Publisher:
- ELSEVIER SCI LTD
- Publication Type:
- Journal Article
- Citation:
- Injury, 2025, 56, (8), pp. 112526
- Issue Date:
- 2025-08
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Full metadata record
| Field | Value | Language |
|---|---|---|
| dc.contributor.author | Hagness, C | |
| dc.contributor.author | Golding, M | |
| dc.contributor.author |
Varndell, W
https://orcid.org/0000-0002-4752-9679
|
|
| dc.date.accessioned | 2026-02-19T23:20:46Z | |
| dc.date.available | 2025-06-12 | |
| dc.date.available | 2026-02-19T23:20:46Z | |
| dc.date.issued | 2025-08 | |
| dc.identifier.citation | Injury, 2025, 56, (8), pp. 112526 | |
| dc.identifier.issn | 0020-1383 | |
| dc.identifier.issn | 1879-0267 | |
| dc.identifier.uri | http://hdl.handle.net/10453/193648 | |
| dc.description.abstract | BACKGROUND: Displaced distal radial fractures are common among all age groups, but increasingly in older patients, and are frequently managed by emergency nurse practitioners. Most can be manipulated and reduced in the emergency department, often by procedural sedation and analgesia, which can be time consuming and often requiring multiple resources. Using haematoma blocks may offer advantages. AIM: To examine the use and efficacy of haematoma blocks in managing close reduction of distal radial fractures by emergency nursing practitioners compared to procedural sedation. DESIGN: Matched case-control study. RESULTS: Compared to those who had procedural sedation and analgesia (n = 100), the haematoma block group (n = 100) had a shorter procedure time (0.4 hrs vs. 0.7 hrs, Z= -1.24, p < .001), time from reduction to discharge (1.5 hrs vs. 4.6 hrs, Z= -2.98, p < .001), overall ED length of stay (2.8 hrs vs. 4.9 hrs, Z= -3.49, p < .001) and minimal pain post reduction (0/10 vs. 4/10, Z= -2.6, p = .001). No adverse events were noted in the haematoma block group compared to 23 % in the procedural sedation and analgesia group. CONCLUSION: Hematoma block is a safe, effective and efficient alternative to procedural sedation in the reduction of distal radial fractures by emergency nurse practitioners. | |
| dc.format | Print-Electronic | |
| dc.language | eng | |
| dc.publisher | ELSEVIER SCI LTD | |
| dc.relation.ispartof | Injury | |
| dc.relation.isbasedon | 10.1016/j.injury.2025.112526 | |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.subject | 1103 Clinical Sciences, 1110 Nursing, 1117 Public Health and Health Services | |
| dc.subject.classification | Orthopedics | |
| dc.subject.classification | 32 Biomedical and clinical sciences | |
| dc.subject.classification | 3202 Clinical sciences | |
| dc.subject.classification | 3203 Dentistry | |
| dc.subject.classification | 42 Health sciences | |
| dc.subject.mesh | Humans | |
| dc.subject.mesh | Case-Control Studies | |
| dc.subject.mesh | Female | |
| dc.subject.mesh | Male | |
| dc.subject.mesh | Radius Fractures | |
| dc.subject.mesh | Nurse Practitioners | |
| dc.subject.mesh | Closed Fracture Reduction | |
| dc.subject.mesh | Hematoma | |
| dc.subject.mesh | Middle Aged | |
| dc.subject.mesh | Treatment Outcome | |
| dc.subject.mesh | Aged | |
| dc.subject.mesh | Emergency Service, Hospital | |
| dc.subject.mesh | Adult | |
| dc.subject.mesh | Nerve Block | |
| dc.subject.mesh | Length of Stay | |
| dc.subject.mesh | Humans | |
| dc.subject.mesh | Radius Fractures | |
| dc.subject.mesh | Hematoma | |
| dc.subject.mesh | Treatment Outcome | |
| dc.subject.mesh | Length of Stay | |
| dc.subject.mesh | Nerve Block | |
| dc.subject.mesh | Case-Control Studies | |
| dc.subject.mesh | Adult | |
| dc.subject.mesh | Aged | |
| dc.subject.mesh | Middle Aged | |
| dc.subject.mesh | Nurse Practitioners | |
| dc.subject.mesh | Emergency Service, Hospital | |
| dc.subject.mesh | Female | |
| dc.subject.mesh | Male | |
| dc.subject.mesh | Closed Fracture Reduction | |
| dc.subject.mesh | Humans | |
| dc.subject.mesh | Case-Control Studies | |
| dc.subject.mesh | Female | |
| dc.subject.mesh | Male | |
| dc.subject.mesh | Radius Fractures | |
| dc.subject.mesh | Nurse Practitioners | |
| dc.subject.mesh | Closed Fracture Reduction | |
| dc.subject.mesh | Hematoma | |
| dc.subject.mesh | Middle Aged | |
| dc.subject.mesh | Treatment Outcome | |
| dc.subject.mesh | Aged | |
| dc.subject.mesh | Emergency Service, Hospital | |
| dc.subject.mesh | Adult | |
| dc.subject.mesh | Nerve Block | |
| dc.subject.mesh | Length of Stay | |
| dc.title | Use and efficacy of haematoma blocks in managing closed reduction of distal radial fractures by emergency nurse practitioners: A matched case-control study design. | |
| dc.type | Journal Article | |
| utslib.citation.volume | 56 | |
| utslib.location.activity | Netherlands | |
| utslib.for | 1103 Clinical Sciences | |
| utslib.for | 1110 Nursing | |
| utslib.for | 1117 Public Health and Health Services | |
| pubs.organisational-group | University of Technology Sydney | |
| pubs.organisational-group | University of Technology Sydney/Faculty of Health | |
| pubs.organisational-group | University of Technology Sydney/Faculty of Health/School of Nursing and Midwifery | |
| utslib.copyright.status | open_access | * |
| dc.rights.license | This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/ | |
| dc.date.updated | 2026-02-19T23:20:44Z | |
| pubs.issue | 8 | |
| pubs.publication-status | Published | |
| pubs.volume | 56 | |
| utslib.citation.issue | 8 |
Abstract:
BACKGROUND: Displaced distal radial fractures are common among all age groups, but increasingly in older patients, and are frequently managed by emergency nurse practitioners. Most can be manipulated and reduced in the emergency department, often by procedural sedation and analgesia, which can be time consuming and often requiring multiple resources. Using haematoma blocks may offer advantages. AIM: To examine the use and efficacy of haematoma blocks in managing close reduction of distal radial fractures by emergency nursing practitioners compared to procedural sedation. DESIGN: Matched case-control study. RESULTS: Compared to those who had procedural sedation and analgesia (n = 100), the haematoma block group (n = 100) had a shorter procedure time (0.4 hrs vs. 0.7 hrs, Z= -1.24, p < .001), time from reduction to discharge (1.5 hrs vs. 4.6 hrs, Z= -2.98, p < .001), overall ED length of stay (2.8 hrs vs. 4.9 hrs, Z= -3.49, p < .001) and minimal pain post reduction (0/10 vs. 4/10, Z= -2.6, p = .001). No adverse events were noted in the haematoma block group compared to 23 % in the procedural sedation and analgesia group. CONCLUSION: Hematoma block is a safe, effective and efficient alternative to procedural sedation in the reduction of distal radial fractures by emergency nurse practitioners.
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