{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T15:42:15Z","timestamp":1777563735953,"version":"3.51.4"},"reference-count":10,"publisher":"California Digital Library (CDL)","issue":"3","license":[{"start":{"date-parts":[[2022,7,27]],"date-time":"2022-07-27T00:00:00Z","timestamp":1658880000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,8,22]]},"abstract":"<jats:p>Introduction: Ultrasound-guided nerve blocks (UGNB) represent a procedural skill set that can be used to treat acute pain by physicians in the emergency department (ED). However, limited access to education and training represents a barrier to widespread adoption of this core skill set. The implementation of UGNBs within the ED can aid in resource allocation, particularly in limited-resource settings. Case Series: In this case series we discuss our experience using tele-ultrasound to train emergency physicians on the use of UGNBs within our international point-of-care ultrasound fellowship in Peru. We highlight the potential role UGNBs serve in management of acute pain when working in resource-limited, public safety-net hospitals in Peru. Conclusion: Tele-ultrasound may represent a strategy for teaching procedures such as UGNBs via remote guidance and supervision.<\/jats:p>","DOI":"10.5811\/cpcem.2022.2.55417","type":"journal-article","created":{"date-parts":[[2022,8,23]],"date-time":"2022-08-23T06:26:35Z","timestamp":1661235995000},"page":"204-207","source":"Crossref","is-referenced-by-count":7,"title":["Role of Tele-ultrasound for Teaching Ultrasound-guided Nerve Blocks in the Emergency Department: A Case Series from Peru"],"prefix":"10.5811","volume":"6","author":[{"given":"David","family":"Martin","sequence":"first","affiliation":[{"name":"Highland Hospital - Alameda Health System, Department of Emergency Medicine, Oakland, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Guillen","sequence":"additional","affiliation":[{"name":"EsSalud Cusco: Hospital Nacional Adolfo Guevara Velasco, Department of Emergency Medicine, Cusco, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angel","family":"Farro","sequence":"additional","affiliation":[{"name":"Hospital Nacional Dos de Mayo, Parque \u201cHistoria de la Medicina Peruana.\u201d Department of Emergency Medicine, Lima, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maribel","family":"Condori","sequence":"additional","affiliation":[{"name":"Hospital Nacional Dos de Mayo, Parque \u201cHistoria de la Medicina Peruana.\u201d Department of Emergency Medicine, Lima, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Dreyfuss","sequence":"additional","affiliation":[{"name":"Hennepin County Medical Center, Department of Emergency Medicine, Minneapolis, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arun","family":"Nagdev","sequence":"additional","affiliation":[{"name":"Highland Hospital - Alameda Health System, Department of Emergency Medicine, Oakland, California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2022,7,27]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Beaudoin FL, Haran JP, Liebmann O. 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. Acad Emerg Med. 2013;20(6):584-91.","DOI":"10.1111\/acem.12154"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Blaivas M, Adhikari S, Lander L. A prospective comparison of procedural sedation and ultrasound-guided interscalene nerve block for shoulder reduction in the emergency department. Acad Emerg Med. 2011;18(9):922-7.","DOI":"10.1111\/j.1553-2712.2011.01140.x"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Beeson MS, Ankel F, Bhat R, et al. The 2019 Model of the Clinical Practice of Emergency Medicine. J Emerg Med. 2020;59(1):96-120.","DOI":"10.1016\/j.jemermed.2020.03.018"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Amini R, Kartchner JZ, Nagdev A, et al. Ultrasound-guided nerve blocks in emergency medicine practice. 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Ultrasound J. 2021;13:6.","DOI":"10.1186\/s13089-021-00210-0"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Dreyfuss A, Martin DA, Farro A, et al. A novel multimodal approach to point-of-care ultrasound education in low-resource settings. West J Emerg Med. 2020;21(4):1017-21.","DOI":"10.5811\/westjem.2020.4.45928"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Schnittger T. Regional anaesthesia in developing countries. Anaesthesia. 2007;62(Suppl 1):44-7.","DOI":"10.1111\/j.1365-2044.2007.05297.x"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2022,8,29]],"date-time":"2022-08-29T17:46:15Z","timestamp":1661795175000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/8qb9p73p"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,27]]},"references-count":10,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,8,22]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2022.2.55417","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"value":"2474-252X","type":"electronic"},{"value":"2474-252X","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7,27]]}}}