Inclusion Criteria:  Patients aged >20 years presenting to the ED with a diagnosis of traumatic hip fracture during the study timeframe.  Exclusion Criteria:  are aged <20 years coagulopathy injection site infection allergy to opioids or local anesthetics initial pulse oximetry measures of oxygen saturation <92% initial systolic blood pressure < 90 mmHg chronic opioid use non-communicative major trauma fractures happened > 24 hours request conservative(non-operative) treatments. The investigators also exclude patients if the NB providers are unavailable.