Prehospital pain management in children with traumatic injuries

Anna Rutkowska, Grażyna Skotnicka-Klonowicz
Pediatric Emergency Care 2015, 31 (5): 317-20

UNLABELLED: Damage that arises as a result of injuries is one of the most common causes of children presenting to hospital emergency departments.

OBJECTIVES: The aim of the study was to assess the implementation of recommendations for prehospital pain management in injured children provided by various health care centers.

METHODS: A total of 7146 children aged 0 to 18 years because of injury were admitted to the Department of Paediatric Emergency Medicine in the Maria Konopnicka Memorial University Teaching Hospital No. 4 in Lodz within the period of 12 months. From this group, 1493 children received prehospital emergency care from various health care centers.

RESULTS: Health care centers provided prehospital aid to 21% of all children with injuries. Boys (60.3%) and children older than 5 years (80%) predominated among pediatric trauma cases. Prehospital emergency aid was most frequently administered to children by emergency medical services personnel (42.7%) and a primary health care physician (28.1%). Injuries of head (42.1%), neck (1.1%), chest (1.7%), abdomen (2.5%), upper (32.2%), and lower (19.9%) limbs as well as burns (5.3%) were diagnosed in pediatric patients. Indications for prehospital analgesia were found in 489 of 1493 patients (32.7%). Analgesia was administered to 159 children (32%), pain medication was not given to 223 children (46%), and in 107 cases (22%), there was a lack of information on that subject.

CONCLUSIONS: Despite the training of medical staff, provision of analgesia for children with burns and traumatic injuries of the osteoarticular system is inadequate.

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