{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T20:23:46Z","timestamp":1771359826263,"version":"3.50.1"},"reference-count":19,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Emergency Medicine"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.ajem.2025.12.045","type":"journal-article","created":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T16:45:09Z","timestamp":1767372309000},"page":"135-140","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Utilizing an ultrasound-guided nerve block for management of sciatica in the ED: A national simulation-based cost savings analysis"],"prefix":"10.1016","volume":"101","author":[{"given":"Lachlan","family":"Driver","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carrie D.","family":"Walsh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Schissel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David A.","family":"Meguerdichian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole M.","family":"Duggan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher W.","family":"Baugh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew J.","family":"Goldsmith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"24","key":"10.1016\/j.ajem.2025.12.045_bb0005","doi-asserted-by":"crossref","first-page":"E1406","DOI":"10.1097\/BRS.0b013e3181d952a5","article-title":"Diagnostic testing and treatment of low back pain in United States emergency departments: a national perspective","volume":"35","author":"Friedman","year":"2010","journal-title":"Spine"},{"key":"10.1016\/j.ajem.2025.12.045_bb0010","doi-asserted-by":"crossref","unstructured":"Fellner A., Kim H.S. Usual Care for low Back Pain at United States emergency departments, 2016-2022. Ann Emerg Med 2025 Dec;86(6):639-645. doi:10.1016\/j.annemergmed.2025.06.005. 00378\u20136. Epub 2025. PMID: 40650645; PMCID: PMC12258925.","DOI":"10.1016\/j.annemergmed.2025.06.005"},{"issue":"4","key":"10.1016\/j.ajem.2025.12.045_bb0015","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2022-069517","article-title":"Global prevalence of hospital admissions for low back pain: a systematic review with meta-analysis","volume":"13","author":"Melman","year":"2023","journal-title":"BMJ Open"},{"issue":"8","key":"10.1016\/j.ajem.2025.12.045_bb0020","doi-asserted-by":"crossref","first-page":"e208229","DOI":"10.1001\/jamanetworkopen.2020.8229","article-title":"Trends in costs of Care for Medicare Beneficiaries Treated in the emergency department from 2011 to 2016","volume":"3","author":"Burke","year":"2020","journal-title":"JAMA Netw Open"},{"issue":"6","key":"10.1016\/j.ajem.2025.12.045_bb0025","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1111\/acem.12154","article-title":"A comparison of ultrasound-guided three-in-one femoral nerve block versus parenteral opioids alone for analgesia in emergency department patients with hip fractures: a randomized controlled trial","volume":"20","author":"Beaudoin","year":"2013","journal-title":"Acad Emerg Med"},{"issue":"12","key":"10.1016\/j.ajem.2025.12.045_bb0030","doi-asserted-by":"crossref","first-page":"2433","DOI":"10.1111\/jgs.14386","article-title":"Regional nerve blocks improve pain and functional outcomes in hip fracture: a randomized controlled trial","volume":"64","author":"Morrison","year":"2016","journal-title":"J Am Geriatr Soc"},{"issue":"9","key":"10.1016\/j.ajem.2025.12.045_bb0035","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1136\/emermed-2013-203407","article-title":"Randomised trial of the fascia iliaca block versus the \u201c3-in-1\u201d block for femoral neck fractures in the emergency department","volume":"32","author":"Reavley","year":"2015","journal-title":"Emerg Med J"},{"issue":"4","key":"10.1016\/j.ajem.2025.12.045_bb0085","doi-asserted-by":"crossref","first-page":"234","DOI":"10.7326\/0003-4819-155-4-201108160-00346","article-title":"Comparative effectiveness of analgesic interventions for hip fracture: a systematic review and network meta-analysis","volume":"155","author":"Abou-Setta","year":"2021","journal-title":"Ann Internal Med"},{"key":"10.1016\/j.ajem.2025.12.045_bb0090","doi-asserted-by":"crossref","unstructured":"Kolodychuk, N., Krebs, J.C., Stenberg, R., et al. Fascia Iliaca Blocks Performed in the Emergency Department Decrease Opioid Consumption and Length of Stay in Patients with Hip Fracture. J Orthop Trauma 2022 Mar 1; 36(3): 142-146.","DOI":"10.1097\/BOT.0000000000002220"},{"issue":"9","key":"10.1016\/j.ajem.2025.12.045_bb0040","doi-asserted-by":"crossref","first-page":"1792","DOI":"10.1016\/j.ajem.2020.06.001","article-title":"Ultrasound-guided transgluteal sciatic nerve analgesia for refractory back pain in the ED","volume":"38","author":"Goldsmith","year":"2020","journal-title":"Am J Emerg Med"},{"issue":"3","key":"10.1016\/j.ajem.2025.12.045_bb0050","doi-asserted-by":"crossref","DOI":"10.1016\/j.acepjo.2025.100137","article-title":"The efficacy of ultrasound-guided Transgluteal sciatic nerve blocks for sciatic radiculopathy pain in the emergency department: a multicenter prospective study","volume":"6","author":"Goldsmith","year":"2025","journal-title":"JACEP Open"},{"issue":"9","key":"10.1016\/j.ajem.2025.12.045_bb0055","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1016\/j.ajem.2018.01.040","article-title":"The cost of observation care for commercially insured patients visiting the emergency department","volume":"36","author":"Sabbatini","year":"2018","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.ajem.2025.12.045_bb0060","author":"Centers for Medicare & Medicaid Services"},{"key":"10.1016\/j.ajem.2025.12.045_bb0075","series-title":"Occupational employment and wage statistics: 29\u20131214 emergency medicine physicians","author":"U.S. Bureau of Labor Statistics","year":"2024"},{"key":"10.1016\/j.ajem.2025.12.045_bb0065","series-title":"R: A language and environment for statistical computing (Version 4.5.0)","author":"R Core Team","year":"2025"},{"issue":"9","key":"10.1016\/j.ajem.2025.12.045_bb0095","doi-asserted-by":"crossref","first-page":"922","DOI":"10.1111\/j.1553-2712.2011.01140.x","article-title":"A prospective comparison of procedural sedation and ultrasound-guided interscalene nerve block for shoulder reduction in the emergency department","volume":"18","author":"Blaivas","year":"2011","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.ajem.2025.12.045_bb0100","doi-asserted-by":"crossref","unstructured":"Durant, E. Dixon, B., Luftig, J., et al. Ultrasound-guided serratus plane block for ED rib fracture pain control. Am J Emerg Med. 2017 Jan; 35(1):197.e3-197.e6.","DOI":"10.1016\/j.ajem.2016.07.021"},{"issue":"10398","key":"10.1016\/j.ajem.2025.12.045_bb0070","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1016\/S0140-6736(23)00404-X","article-title":"Opioid analgesia for acute low back pain and neck pain (the OPAL trial): a randomised placebo-controlled trial","volume":"402","author":"Jones","year":"2023","journal-title":"Lancet"},{"issue":"4","key":"10.1016\/j.ajem.2025.12.045_bb0080","doi-asserted-by":"crossref","first-page":"323","DOI":"10.5114\/ait.2020.98213","article-title":"Adjuvants in peripheral nerve blocks \u2013 the current state of knowledge","volume":"52","author":"Gola","year":"2020","journal-title":"Anaesthesiol Intens Therapy"}],"container-title":["The American Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0735675725008253?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0735675725008253?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T19:59:09Z","timestamp":1771358349000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0735675725008253"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":19,"alternative-id":["S0735675725008253"],"URL":"https:\/\/doi.org\/10.1016\/j.ajem.2025.12.045","relation":{},"ISSN":["0735-6757"],"issn-type":[{"value":"0735-6757","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Utilizing an ultrasound-guided nerve block for management of sciatica in the ED: A national simulation-based cost savings analysis","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Emergency Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajem.2025.12.045","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}