347 Emergency Physician Performance Using Ultrasound to Identify Anatomy Relevant to Interscalene Brachial Plexus Nerve Blocks B. Ching, T. Anaebere,

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347 Emergency Physician Performance Using Ultrasound to Identify Anatomy Relevant to Interscalene Brachial Plexus Nerve Blocks B. Ching, T. Anaebere, A.A. Herring Annals of Emergency Medicine Volume 64, Issue 4, Pages S122-S123 (October 2014) DOI: 10.1016/j.annemergmed.2014.07.375 Copyright © 2014 American College of Emergency Physicians Terms and Conditions

Figure The anatomic and sonographic landmarks for the ultrasound-guided interscalene brachial plexus nerve block. A. Optimal ultrasound image of the brachial plexus at the interscalene groove: (1) Sternocleidomastoid (SCM). (2) anterior scalene muscle, (3) middle scalene muscle, (4) Carotid artery and internal jugular vein, (5) interscalene groove with C5, C6, C7 cervical roots visualized, (6) in-plane needle approach. B. Schematic diagram of relevant interscalene brachial plexus anatomy. C. Patient positioning with overlay showing underlying relevant anatomy. Annals of Emergency Medicine 2014 64, S122-S123DOI: (10.1016/j.annemergmed.2014.07.375) Copyright © 2014 American College of Emergency Physicians Terms and Conditions