Effectiveness of Hematoma block in acute pain management and closed reduction of fractures in children presenting to DHQ Kohat: An exploratory RCT

INTERVENTION: Hematoma block and intravenous analgesia are the two interventions which will be administered by the Surgeon. Patients will be randomized to one of the groups. Each patient will only recieve one intervention. The intervention will be administered immediately before the fracture reduction. Hematoma block: Fracture hematoma will be injected with 2% lignocaine in a dose of 0.5 ml/kg. Intravenous analgesia: Injection Ketorolac (Toradol) will be injected in the Cubital vein of the contralateral limb in a dose of 0.2 ml/kg. CONDITION: Fractures; ; Fractures Injuries and Accidents ‐ Fractures PRIMARY OUTCOME: To evaluate the effectiveness of hematoma block versus intravenous analgesia in acute pain management of fractures of forearm and shin bones in children.; ; Pain assessment will be done by using a visual analogue scale.[; ; Pain assessment on visual analogue scale will be done, 5 minutes after administration of Hematoma block/Intravenous analgesia.; ; Pain assessment on visual analogue scale ‐30 minutes after administration of Hematoma block/IVA.] SECONDARY OUTCOME: To evaluate the effectiveness of hematoma block and intravenous analgesia in closed reduction of fractures of forearm and shin bones in children[The reduction will be assessed by orthopedic surgeon for alingment. This will be done immediately after the reduction process is completed. ; Pre and post reduction X‐rays will be used for this purpose.] INCLUSION CRITERIA: Age between 7‐14 years. Simple/closed fracture pattern. Fractures of the forearm or shin bone. Fracture duration less than 24 hours. Parents Consent. Childs Assent.