Department of Emergency Medicine, University of Colorado Anschutz, Aurora, CO, United States Introduction: Ultrasound-guided nerve blocks (UGNBs) offer effective, opioid-sparing analgesia and have been increasingly recognized as a valuable component of multimodal pain management in the Emergency Department (ED). Despite endorsement by major professional societies, adoption of UGNBs among emergency physicians has been slow due to educational, logistical, and interdepartmental barriers.