Kendall Lavin-Parsons, Zachary W. Binder – Injuries are a common presenting complaint in the emergency department [1]. Pain from injuries has traditionally been treated with opioids [2]. Extensive research exists describing the potential adverse effects of systemic opioids including bradypnea, hypotension, and central nervous system depression.
John M. Bowling, Erick Zoumberakis – Performing an ultrasound-guided nerve block (UGNB) is now common practice in many emergency departments (EDs) and is considered a core skill according to the American College of Emergency Physicians (ACEP). Nerve blocks are mostly utilized for fractures and laceration repairs, however, these blocks have many other applications. We present a case of utilizing an ulnar UGNB in a patient with flexor tenosynovitis and a history of intravenous drug use (IVDU) when parental opiates proved to be ineffective.