R.E.C.K (Ropivacaine, Epinephrine, Clonidine, & Ketorolac) in Sodium Chloride Solution, 50 ml Fill, 50 ml Syringe

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A bunch of our orthos use it in lieu of blocks. For whatever reason they call it CERT here, clonidine, epi, ropi, toradol.
 
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