Quality assessment of ultrasound guided Fasci Iliaca Compartment-block, executed by nurse practitioners in prehospital ambulance care
in region Brabant Midden-West-Noord, The Netherlands

In the working area of ambulance-care region Brabant Midden-West-Noord is the ultrasound guided Fasci Iliaca Compartment Block (FIC) one of the standard procedures in the regular analgesia options for patients with a suspicion of a collumn fracture. The ultrasound guided FIC-Block is performed by Nurse Practitioners. The Nurse Practitioner is a medical supplement on the regular ambulancecare. The main goal of the Nurse Practitioner is to improve the quality of the patientcare and to provide optimal medical care at the location. All consultations are registrated in a database. Analysis of these data gives insight in the prehospital healthcare, with the possibility to optimize the quality of the healthcare.

To gain understanding in the characteristics of patients with a suspicion of a collumn fracture that have been treated with an ultrasound guided FIC-block

Primary endpoints are measured with the Numeric Rating Scale or PAIN-AD Scale, before the intervention and 30 minutes after the intervention. Secondary endpoint 'complications' are measured with a complication registration list after the intervention. Secondary endpoint 'side effects' are measured with a side effect registration after the intervention. For example: no visualization of the needle, no visual hydrodissection, paresthesesia, pain by spreading the fluid, Local Anesthetic System Toxicity (LAST)

ultrasound guided FIC-block