Why the study?
Fascia iliaca blocks provide efficacious prehospital regional anaesthesia for neck of femur fractures, but their current prehospital use is limited.
What is the procedural confidence and what are the concerns of allied health professionals in giving prehospital fascia iliaca blocks?
What is the procedural confidence and what are the concerns of allied health professionals in giving prehospital fascia iliaca blocks?
Allied health professionals report high confidence in performing prehospital fascia iliaca blocks but identify training and governance as key barriers to expansion.
Practitioner concerns warrant caution before expanding prehospital FIB; leaves open need for governance and safety trials.
Background: Fascia iliaca blocks (FIBs) are an efficacious form of prehospital regional anaesthesia for patients with neck of femur fracture. Current prehospital use is limited. Aims: The primary aim of this study was to assess procedural confidence among allied health professionals. The secondary aim was to examine concerns related to prehospital use of FIB. Methods: This was a qualitative study that analysed semi-structured interviews. Two recognised groups were involved: paramedics and advanced practitioners. Results: A total of 12 semi-structured interviews were conducted. Four factors were found to contribute to procedural confidence. All practitioners felt confident to perform the FIB. In its secondary aim, to identify concerns related to FIBs, the study found three major themes: risk of doing harm; receiving adequate training; and procedural governance. Conclusions: Procedural confidence was high. Training and governance were highlighted as barriers to procedural expansion. Research is required to assess feasibility.
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Eve Fordyce (2023) studied this question.
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