Practical Regional Anaesthesia Training by Kung Medics

Develop the ultrasound, anatomical and procedural skills required to perform an Ultrasound-Guided Fascia Iliaca Block (FIB/FICB) safely and systematically.

The Ultrasound-Guided Fascia Iliaca Block Course by Kung Medics is a focused, hands-on training programme for doctors and healthcare professionals who want greater confidence in using regional anaesthesia for acute pain management, particularly in patients presenting with suspected or confirmed hip and proximal femoral fractures.

Fascia iliaca blocks are widely used in UK Emergency Departments as part of multimodal analgesia for patients with fractured neck of femur, and ultrasound-guided FIB is included within Emergency Medicine point-of-care ultrasound training.

Who Is This Course For?

The course is particularly suitable for:

• Emergency Medicine doctors

• ACCS trainees

• Foundation doctors

• Acute Medicine doctors

• Anaesthetic trainees

• Critical Care doctors

• Orthopaedic and surgical trainees

• Advanced clinical practitioners working within an appropriate governance framework

• International Medical Graduates entering UK acute clinical practice

• Doctors preparing for MRCEM or FRCEM examinations

• Clinicians who understand the theory of FIB but lack confidence performing the procedure

• Healthcare professionals seeking supervised ultrasound and regional anaesthesia practice

The RCEM Emergency Medicine curriculum includes point-of-care ultrasound-guided vascular access and fascia iliaca block among relevant procedural capabilities.

What You Will Learn

During the course, candidates develop a structured approach to:

• Understanding the indications for fascia iliaca block

• Identifying contraindications and precautions

• Performing an appropriate pre-procedure assessment

• Understanding relevant anatomy

• Selecting and setting up the ultrasound probe

• Identifying key structures on ultrasound

• Differentiating muscle, fascia, vessels and nerves

• Selecting an appropriate needle approach

• Maintaining real-time needle-tip visualisation

• Understanding local anaesthetic safety

• Performing the block on simulation models

• Recognising procedural complications

• Assessing block effectiveness

• Monitoring the patient after the procedure

• Documenting the block appropriately

• Recognising when senior or specialist assistance is required

Understanding the Anatomy

Candidates review the anatomy relevant to fascia iliaca blockade, including:

• Fascia iliaca

• Iliacus muscle

• Sartorius

• Femoral nerve

• Femoral artery and vein

• Lateral femoral cutaneous nerve

• Relevant surrounding structures

The aim is to help candidates understand not simply where to place the needle, but why correct deposition of local anaesthetic within the fascial plane is important.

Ultrasound Identification

Candidates practise using ultrasound to identify the relevant anatomy and optimise the image before attempting needle insertion.

Training includes:

• Selecting an appropriate high-frequency linear probe

• Probe orientation

• Adjusting depth and gain

• Recognising the femoral vessels

• Identifying the iliacus muscle and fascia iliaca

• Recognising the femoral nerve

• Planning a safe needle trajectory

• Maintaining awareness of adjacent structures

Needle Guidance

A major part of the course focuses on safe needle control under real-time ultrasound.

Candidates practise:

• In-plane needle insertion

• Maintaining visualisation of the needle

• Identifying the needle tip

• Coordinating probe and needle movement

• Correcting poor needle alignment

• Avoiding advancement when the needle tip cannot be confidently identified

• Confirming appropriate placement beneath the fascia iliaca

• Recognising spread within the intended fascial plane

Local Anaesthetic Safety

Safe regional anaesthesia requires more than technical needle placement.

Candidates review:

• Choice of local anaesthetic according to local protocols

• Maximum-dose considerations

• Patient weight and dose calculations

• Allergy history

• Aspiration before injection where appropriate

• Incremental administration

• Recognition of unexpected resistance or pain

• Recognition of local anaesthetic systemic toxicity

• Immediate escalation and emergency management principles

Specific drug choice, concentration and dose should always follow the clinician's local policy and patient-specific assessment.

Indications and Patient Selection

The course discusses the use of FIB as part of analgesic management for patients with conditions such as:

• Fractured neck of femur

• Proximal femoral fractures

• Selected painful hip injuries

RCEM describes FIB as being used principally for pain relief in patients with fractured neck of femur in UK Emergency Departments.

Candidates are taught that a regional block forms part of a broader analgesic strategy and does not replace appropriate assessment, systemic analgesia where required, investigation or definitive treatment.

Contraindications and Precautions

Candidates learn to consider factors such as:

• Patient refusal or inability to obtain appropriate consent

• Allergy to the proposed local anaesthetic

• Infection at the proposed injection site

• Significant anatomical abnormality

• Previous surgery affecting anatomy

• Anticoagulation or bleeding risk

• Pre-existing neurological abnormalities

• Uncertainty regarding anatomy

• Lack of appropriate monitoring or clinical governance

The decision to perform any regional block should be based on individual clinical assessment and local policy.

Practical Simulation Training

This is a hands-on course with a strong emphasis on repeated procedural practice.

Candidates have opportunities to:

• Operate ultrasound machines

• Identify relevant anatomy

• Practise probe positioning

• Practise needle guidance

• Perform simulated fascia iliaca blocks

• Observe spread within the target plane

• Repeat difficult elements of the technique

• Receive immediate instructor feedback

• Recognise and correct common errors

The aim is to develop a structured, reproducible technique before progressing to supervised clinical practice.

Complications and Safety

Candidates discuss potential complications including:

• Failed or incomplete block

• Vascular puncture

• Haematoma

• Infection

• Nerve injury

• Intravascular injection

• Local anaesthetic systemic toxicity

• Motor weakness

• Falls risk following blockade

• Incorrect local anaesthetic deposition

Regional anaesthesia is subject to clinical governance, consent, documentation and appropriate post-procedure monitoring. RCEM's current regional anaesthesia work also identifies these governance requirements as important aspects of practice.

Post-Block Assessment and Monitoring

Candidates learn the importance of:

• Reassessing pain

• Monitoring physiological observations

• Assessing block effectiveness

• Monitoring for adverse effects

• Maintaining falls precautions where relevant

• Documenting the procedure and medication administered

• Recording pre- and post-procedure neurological findings where appropriate

• Escalating unexpected symptoms promptly

Appropriate post-block monitoring should always follow local policy and the patient's clinical condition.

Preparing for Emergency Medicine Training

This course may be particularly useful for Emergency Medicine trainees developing their POCUS and procedural portfolio.

Candidates can strengthen their understanding of:

• Ultrasound anatomy

• Regional anaesthesia

• Procedural preparation

• Consent and safety

• Ultrasound-guided needle techniques

• Clinical governance

• Complication recognition

• Documentation

It may also support candidates preparing for MRCEM, FRCEM or workplace-based procedural assessments.

Training for Clinical Competency

This course provides education and simulation-based procedural training. It does not by itself establish independent clinical competence.

Following the course, candidates should continue development through:

• Supervised clinical blocks

• Appropriate workplace-based assessments

• Procedure logbooks

• Direct observation

• Local competency pathways

• Review of ultrasound images where required

• Ongoing regional anaesthesia training

RA-UK states that fascia iliaca block practice should sit within appropriate training and clinical governance arrangements, particularly where practitioners are developing competence.

Why Train With Kung Medics?

Candidates benefit from:

• Experienced clinical educators

• Hands-on ultrasound training

• Regional anaesthesia simulation models

• Repeated needle-guidance practice

• Small-group teaching

• Immediate instructor feedback

• Structured step-by-step instruction

• Training linked to Emergency Medicine practice

• A supportive environment for clinicians who feel uncertain about the procedure

Our focus is on helping candidates understand the anatomy, visualise the procedure correctly and develop a safe technique rather than simply memorising a series of steps.

Learning Outcomes

By the end of the course, candidates should have a better understanding of how to:

• Select appropriate patients for FIB

• Recognise important contraindications

• Identify relevant anatomy using ultrasound

• Optimise the ultrasound image

• Plan an appropriate needle trajectory

• Maintain needle-tip visualisation

• Demonstrate a simulated ultrasound-guided FIB

• Apply principles of local anaesthetic safety

• Recognise important complications

• Assess block effectiveness

• Monitor and document the patient appropriately

• Continue toward supervised clinical competency

Important Course Status

The Ultrasound-Guided Fascia Iliaca Block Course is an independent practical training programme delivered by Kung Medics.

Completion of the course:

• Does not certify independent competence

• Does not replace supervised clinical experience

• Does not constitute employer credentialing

• Does not replace local competency assessment or sign-off

• Does not authorise independent regional anaesthesia practice where local approval is required

Candidates must work within their professional scope of practice and comply with their employer's local policies, supervision requirements and regional anaesthesia governance arrangements.

Book Your Ultrasound-Guided Fascia Iliaca Block Course

Whether you are learning FIB for Emergency Medicine training, preparing for postgraduate examinations or simply want more confidence before performing the procedure clinically, this course provides structured and practical ultrasound-guided training.

Book your Ultrasound-Guided Fascia Iliaca Block Course with Kung Medics and develop the foundations needed to progress toward safe, supervised clinical practice.