{
  "abstract": "Please confirm that an ethics committee approval has been applied for or granted: Yes: I’m uploading the Ethics Committee Approval as a PDF file with this abstract submissionApplication for ESRA Abstract PrizesBackground and Aims Rib fractures are a major source of morbidity and mortality. Early analgesia reduces the incidence of respiratory complications and critical care admission. We felt that existing analgesia guidelines were not reliably implemented in our hospital and referral for regional techniques was variable.Methods We reviewed referrals from 6th June (launch of ‘Epic’ electronic record) to 24th September 2024 in our hospital. Records were reviewed for STUMBL scores, analgesia administered and regional technique. Following data collection we created a pathway, to be integrated within the Epic healthcare record, which triggers early administration of analgesia and prompts regional anaesthesia referral. This is due to rollout in the coming months.Results 25 referrals were made for regional anaesthesia, median STUMBL score 24. 73% of these received a regional block, of which 42% were Erector Spinae Plane and 31% were Serratus Anterior Plane blocks. Administration of multimodal analgesia was variable: Paracetamol 92%, NSAID 16%, Opioid 76%. Omission of NSAID was not linked to a contraindication in 71% of patients. Two cases received no analgesia within four hours of arrival to hospital, despite referral for a regional technique.Conclusions This work has demonstrated the need to improve basic multi-modal analgesia for rib fracture patients and clear referral pathways for regional techniques. We faced resource challenges due to the rollout of Epic across Northern Ireland, although this should enable translation of pathways across all trauma hospitals. We will re-audit analgesia administration and referral for regional anaesthesia to assess the impact of the online pathway once it is live.",
  "authors": [
    {
      "affiliations": [
        "Regional Anaesthesia Fellow, Royal Victoria Hospital, Belfast, UK"
      ],
      "name": "Declan Love"
    },
    {
      "affiliations": [
        "Consultant Anaesthetist, Royal Victoria Hospital, Belfast, UK"
      ],
      "name": "Sean Shevlin"
    }
  ],
  "title": "P290 Improving analgesia and regional anaesthesia for rib fractures using an electronic healthcare record",
  "uid": "9539392e-a832-55ab-8659-97a8cd5a812f"
}