Dear Editor, The gold standard for rib fracture analgesia includes the early use of thoracic epidural (TE) or paravertebral blocks (PVB) [1,2]. Recently, there has been a surge in literature, particularly in The American Journal of Emergency Medicine celebrating the success of superficial chest wall blocks such as the erector spinae block (ESB) and the serratus anterior block (SAB) [[3], [4], [5], [6], [7]]. The ESB and SAB have not been compared with each other or to any other analgesic strategy in the management of rib fractures. This exploratory study aimed to confirm the analgesic efficacy of these two blocks and determine where future research should be directed.