858 The Effect of a ‘Rib Fracture Pathway’ on the Efficiency of Rib Block Delivery at a UK Major Trauma Centre

Abstract Aim Rib fractures carry a mortality rate of 10% which is doubled in the elderly population. They are common following blunt thoracic trauma and marker injury severity. Timely delivery regional analgesia crucial to prevent secondary respiratory complications. We compare time taken from admission administration block patients with >2 rib before after implementation fracture pathway. Method Retrospective data was collected 22 pre-pathway 47 post-pathway who were given suffering fractures. Demographic data, ISS, length stay complications collected. Need for determined by clinical factors including uncontrolled pain limited effort. Results Time longer (41.9±33.8 vs 23.9±21.2 hours, p = 0.03). There no significant difference (21.6±14.2 19.9±14.5, 0.3). Pre-pathway significantly younger (54.6±15.0 66.8±17.4 years, 0.006) had fewer (5.4±2.3 7.4±3.5, 0.02). The mean ISS 24.1±10.3 18.1±8.5 pre- patients, respectfully (p post-admission chest infection rates (18.2% 23.4%, 0.4). Conclusions multiple reduced ‘Rib Fracture Pathway’ at UK Major Trauma Centre. Further work required determine whether this will affect or patient outcomes.