 In this proposed protocol the investigators will conduct a prospective, randomized control trial comparing the efficacy of Ultrasound Guided Femoral Nerve Blockade USFNB versus the standard of care pain management by parenteral injection of opioid pain medication of patients presenting with hip fracture at the BIDMC ED. We hypothesize that USNFB approach will be non-inferior in achieving pain control efficacy and superior in the total dose of opioids lower amount as compared to the standard protocol. The enrolled population will be randomized 1:1 using a simple balanced randomization scheme. 