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Background and Aims Hip fracture is an increasingly common emergency surgical presentation amongst elderly and a rising social and economic burden. This reflects the high morbidity and mortality of the condition, particularly among the frail elderly. Providing patients with effective analgesia has been shown to reduce delirium. Aim is to evaluate the efficacy of FICB-S and PENG block in reducing pain scores in first 24 hours of admissionMethods After obtaining approval from the institutional ethics committee (IEC-2020–44-IP-114), 50 patients of either sex, of age above 18 years who present with fracture of hip to the emergency department with pain of numerical rating score >4, were randomly divided into two groups (Group A and Group B) by computer generated slips for on arrival analgesia. Patients of Group A received FICB-S and those of group B received PENG block with 30 ml of 0.2% ropivacaine. Thirty minutes after block placement, pain was assessed by numerical rating scale and thereafter every 6 hours for 24 hours. Patient demographics, type of hip fracture, opioid consumption in 24 hours were also recorded.Results Demographic characteristics in terms of age, gender and BMI, were comparable in both the groups (p > 0.05). When NRS was compared at different time interval, it was found that Group B (PENG) was better and significant (P< 0.05) at time point 30 min, 6 hr and 24 hr in comparison to Group A (FICB-S). Total fentanyl consumption in 24 hr was less and significant (P< 0.05) in PENG group (142±64) in comparison to FICB-S group (212±45).Conclusions PENG block is superior to FICB-S block in reducing pain scores for on arrival analgesia in patients of hip fracture.Abstract EP051 Table 1Comparison of pain scores between two groups