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Transit: the act or fact of passing through a transitional space, an intermediate space. Transitoria has a relationship with Foucault’s Heterotopia. He uses the term to describe spaces that have more layers of meaning or relationships to other places than immediately meet the eye. In general, a heterotopia is a parallel space. Foucault explains the link between utopias and heterotopias using the metaphor of a mirror. A mirror is a utopia because the image reflected is a ‘placeless place’, an unreal virtual place that allows one to see one’s own visibility. However, the mirror is also a heterotopia, in that it is a real object. The heterotopia of the mirror is at once absolutely real, relating with the real space surrounding it, and absolutely unreal, creating a virtual image.

7.07 --- Raes, Joke °1983 (°Brugge, België) --- Vansteenkiste, Jonas °1984 (°Kortrijk, België) --- Belgische kunstenaars --- Kunstenaarsboeken --- Kunstenaars met verschillende disciplines, niet traditioneel klasseerbare, conceptuele kunstenaars A - Z --- Art --- sculpture [visual works] --- installations [visual works] --- drawing [image-making] --- photography [process] --- studio ceramics --- texts [documents] --- Vansteenkiste, Jonas --- Raes, Joke --- artists' books [books]

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Introduction Pain is a common symptom in the emergency department (ED). Peripheral nerve blocks (PNBs) can offer specific advantages for the trauma patient. This study aimed to evaluate to what extent PNBs for trauma patients are performed in the Belgian EDs. Materials and Methods This cross-sectional survey was conducted from February to July 2019. The medical chiefs of the EDs of 124 acute care hospitals in Belgium were contacted by telephone regarding the use of PNBs after trauma in their ED. The survey assessed the use of a peripheral nerve block (PNB) based on a 26-item questionnaire. These questions had items related to the type of hospital and ED; to the medical background of the emergency physicians; and to practical, technical and safety issues regarding the use of a PNB in the ED. Results The response rate of the survey was 90%. In 84% of hospitals, PNBs were performed after trauma. A similar proportion (90%,) had a specific pain protocol for trauma patients. In 6% of the ED, PNBs were formally integrated in a multimodal analgesic protocol. Hip fractures were considered the main indication and ultrasound (US) was the preferred technique. However, the majority of the blocks were performed in the operating theatre (68%). According to our respondents, the main reason why they didn’t perform blocks in their ED, was a lack of training. Intralipid was readily available in 50% of the EDs. Discussion Although the vast majority of the hospitals perform PNBs after trauma, they are rarely incorporated in pain protocols for trauma patients. However, the majority of ED physicians are convinced of the added value of PNBs. Lack of training, time constraint and logistic challenges are the most important reasons why PNBs are not performed in Belgian EDs. Currently, the majority of PNBs are performed in the operating theatre. Providing PNBs early after arrival at the ED increases the quality of care and should not be delayed. Therefore, PNBs are ideally performed in the ED. Conclusions Our survey demonstrated that the vast majority of ED physicians is convinced of the added value of PNBs. Although PNBs are frequently performed after trauma, they are rarely incorporated in pain protocols for trauma patients.