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Emergency Pain

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32 papers 0 to 25 followers
Sabrina J Poon, Lewis S Nelson, Jason A Hoppe, Jeanmarie Perrone, Margaret K Sande, Donald M Yealy, Michael S Beeson, Knox H Todd, Sergey M Motov, Scott G Weiner
BACKGROUND: Increased prescribing of opioid pain medications has paralleled the subsequent rise of prescription medication-related overdoses and deaths. We sought to define key aspects of a pain management curriculum for emergency medicine (EM) residents that achieve the balance between adequate pain control, limiting side effects, and not contributing to the current public health opioid crisis. METHODS: We convened a symposium to discuss pain management education in EM and define the needs and objectives of an EM-specific pain management curriculum...
August 2016: Journal of Emergency Medicine
Rabin Bhandari, Gyanendra Malla, Bijendra Kumar Rai, Chris Curry
OBJECTIVES: Nepal is a least developed country, with limited healthcare resources. An 18 month Fellowship in Emergency Medicine has contributed some improvements to care. This study assessed time to first analgesia in higher and lower acuity patients. METHODS: A prospective observational study of 101 patients in each of the Australasian Triage Scale (ATS) 2, 3 and 100 in ATS 4 was undertaken at B.P. Koirala Institute of Health Sciences. Convenience sampling was used coinciding with researcher's duty hours...
August 2016: Emergency Medicine Australasia: EMA
Ogilvie N Thom, Gerben Keijzers, David McD Taylor, Daniel M Fatovich, Daniel P Finucci, Jeremy Furyk, Sang-Won Jin, Stephen Pj Macdonald, Hugh Ma Mitenko, Joanna R Richardson, Joseph Ys Ting, Clinton R Gibbs, Dane R Chalkley
This perspective article summarises the experience of conducting a multicentre research project. We describe expected and unexpected hurdles we experienced as well as suggesting possible solutions for researchers embarking on multicentre studies.
October 2016: Emergency Medicine Australasia: EMA
Kate Miller, Xianghong Tan, Andrew Dillon Hobson, Asaduzzaman Khan, Jenny Ziviani, Eavan OʼBrien, Kim Barua, Craig A McBride, Roy M Kimble
OBJECTIVES: Intravenous (IV) cannulation is commonly performed in pediatric emergency departments (EDs). The busy ED environment is often not conducive to conventional nonpharmacological pain management. This study assessed the use of Ditto (Diversionary Therapy Technologies, Brisbane, Australia), a handheld electronic device which provides procedural preparation and distraction, as a means of managing pain and distress during IV cannulation performed in the pediatric ED. METHODS: A randomized controlled trial with 98 participants, aged 3 to 12 years, was conducted in a pediatric ED...
July 2016: Pediatric Emergency Care
Daniel B Fenster, Peter S Dayan, John Babineau, Linda Aponte-Patel, Daniel S Tsze
OBJECTIVES: Abscess incision and drainage (I&D) are painful and distressing procedures in children. Intranasal (IN) fentanyl is an effective analgesic for reducing symptomatic pain associated with fractures and burns but has not been studied for reducing procedural pain during abscess I&D. Our objective was to compare the analgesic efficacy of IN fentanyl with intravenous (IV) morphine for abscess I&D in children. METHODS: We performed a randomized noninferiority trial in children aged 4 to 18 years undergoing abscess I&D in a pediatric emergency department...
September 2018: Pediatric Emergency Care
Katelyn Johnson Yackey, Annie Heffernan Rominger
OBJECTIVES: There are no recent national data on analgesic use for pain treatment in children. Our objective was to determine if there is adequate pain treatment for children in US emergency departments (EDs) and determine predictors of nonopioid and opioid analgesic administration. METHODS: Children younger than 18 years with the diagnosis of extremity fracture, appendicitis, or urinary tract stones were obtained from the National Health Ambulatory Medical Care Survey (NHAMCS) (2006-2010) and analyzed using logistic regression for complex samples...
January 2018: Pediatric Emergency Care
Bill Lord, Paul A Jennings, Karen Smith
OBJECTIVES: The present study aimed to describe paramedic assessment and management of pain in children in a large state-wide ambulance service. METHODS: A retrospective cohort study included paediatric patients (aged less than 15 years) treated and transported by paramedics in the Australian state of Victoria between 1 January 2008 and 31 December 2011. Primary outcome measures were the frequency of analgesic administration and odds of receiving any analgesic (morphine, fentanyl or methoxyflurane)...
June 2016: Emergency Medicine Australasia: EMA
Lester E Jones, Laura Y Whitburn, Mary-Ann Davey, Rhonda Small
No abstract text is available yet for this article.
May 2016: Annals of Emergency Medicine
Adrian P Murphy, Macartan Hughes, Siobhan Mccoy, Gloria Crispino, Abel Wakai, Ronan O'Sullivan
INTRODUCTION: Acute pain is the most common symptom in the emergency setting and its optimal management continues to challenge prehospital emergency care practitioners, particularly in the paediatric population. Difficulty in establishing vascular access and fear of opiate administration to small children are recognized reasons for oligoanalgesia. Intranasal fentanyl (INF) has been shown to be as safe and effective as intravenous morphine in the treatment of severe pain in children in the Emergency Department setting...
December 2017: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
David McD Taylor, Olivia Grover Johnson, Marina Lee, Juen Li Ding, Aadith Ashok
OBJECTIVE: We aimed to provide pain advice ('The treatment of pain is very important and be sure to tell the staff when you have pain') as an intervention and evaluate its effect upon patient satisfaction. The purpose of this pilot trial was to ensure the design and methods of a future trial are sound, practicable and feasible. METHOD: We undertook a pilot, randomised, controlled, clinical intervention trial in a single ED. The control arm received standard care...
July 2016: Emergency Medicine Journal: EMJ
Shane P Martin, Kevin H Chu, Ibrahim Mahmoud, Jaimi H Greenslade, Anthony F T Brown
OBJECTIVE: The objective of this present study is to compare pain associated with the double-dorsal versus a single-volar subcutaneous injection in the provision of digital anaesthesia for finger injuries presenting to the ED. METHODS: A randomised controlled trial from November 2012 to January 2014 at a single adult tertiary-referral hospital. ED patients with finger injuries requiring digital anaesthesia was randomised to either the double-dorsal or a single-volar subcutaneous injection technique...
April 2016: Emergency Medicine Australasia: EMA
Meghan MacKenzie, Peter J Zed, Mary H H Ensom
OBJECTIVE: To evaluate acute traumatic pain protocols and to suggest optimization by characterizing opioid pharmacokinetics and pharmacodynamics (PK-PD). DATA SOURCES: MEDLINE (1946 to November 2015), EMBASE (1974 to November 2015), International Pharmaceutical Abstracts (1970 to December 2014), and Cochrane Database of Systematic Reviews (2005 to November 2015). KEYWORDS: morphine, hydromorphone, fentanyl, trauma, acute pain, intravenous, opioid, pharmacokinetics, and pharmacodynamics...
March 2016: Annals of Pharmacotherapy
Eitan Dickman, Illya Pushkar, Antonios Likourezos, Knox Todd, Ula Hwang, Saadia Akhter, Sean Morrison
OBJECTIVES: To compare pain relief between patients with intracapsular and extracapsular hip fractures who received an ultrasound-guided femoral nerve block (USFNB). DESIGN: A multicenter, prospective, randomized, clinical trial. SETTING: The study was conducted in the emergency departments of 3 academic hospitals located in New York City. SUBJECTS: Patients aged ≥60 years presenting to the emergency department with hip fracture...
March 2016: American Journal of Emergency Medicine
Naveen Poonai, Allyson Cowie, Chloe Davidson, Andréanne Benidir, Graham C Thompson, Philippe Boisclair, Stuart Harman, Michael Miller, Andreana Butter, Rod Lim, Samina Ali
OBJECTIVES: Evidence exists that analgesics are underutilized, delayed, and insufficiently dosed for emergency department (ED) patients with acute abdominal pain. For physicians practicing in a Canadian paediatric ED setting, we (1) explored theoretical practice variation in the provision of analgesia to children with acute abdominal pain; (2) identified reasons for withholding analgesia; and (3) evaluated the relationship between providing analgesia and surgical consultation. METHODS: Physician members of Paediatric Emergency Research Canada (PERC) were prospectively surveyed and presented with three scenarios of undifferentiated acute abdominal pain to assess management...
September 2016: CJEM
Samina Ali, Tara McGrath, Amy L Drendel
BACKGROUND: Painful procedures are common in the ED setting and beyond. Although these procedures are often essential to patient management, they can also be distressing for children, parents, and health providers. As such, it is imperative that effective pain and anxiety-minimizing strategies be used consistently in all settings where painful procedures take place for children. OBJECTIVES: This review article aims to provide a summary of several strategies, which are supported by definitive and systematically reviewed evidence, that can be implemented alone or in combination to reduce procedural pain and anxiety for children in the ED and beyond...
January 2016: Pediatric Emergency Care
Mark D Baker, John P Gullett
Pediatric acute femur fractures are a relatively common major orthopedic injury seen in emergency departments. Providing adequate and safe analgesia is essential while patients await definitive management of these fractures. Opioid medications are typically used to treat fracture-associated pain but have well-known adverse effects including respiratory and central nervous system depression, pruritus, nausea, and allergic reactions. Dose titration of opioids in pediatric patients may be difficult and requires frequent nursing and physician reassessments...
December 2015: Pediatric Emergency Care
Jordan D Dworkin, Andrew McKeown, John T Farrar, Ian Gilron, Matthew Hunsinger, Robert D Kerns, Michael P McDermott, Bob A Rappaport, Dennis C Turk, Robert H Dworkin, Jennifer S Gewandter
OBJECTIVE: The goal of this study was to assess the quality of reporting of statistical methods in randomized clinical trials (RCTs), including identification of primary analyses, missing data accommodation, and multiplicity adjustment, in studies of nonpharmacologic, noninterventional pain treatments (e.g., physical therapy, cognitive behavioral therapy, acupuncture, and massage). STUDY DESIGN: Systematic review of 101 articles reporting RCTs of pain treatments that were published between January 2006 and June 2013 in the European Journal of Pain, the Journal of Pain, and Pain...
April 2016: Journal of Clinical Epidemiology
David McD Taylor, Daniel M Fatovich, Daniel P Finucci, Jeremy Furyk, Sang-Won Jin, Gerben Keijzers, Stephen Pj Macdonald, Hugh Ma Mitenko, Joanna R Richardson, Joseph Ys Ting, Ogilvie N Thom, Antony M Ugoni, James A Hughes, Nerolie Bost, Meagan L Ward, Clinton R Gibbs, Ellen Macdonald, Dane R Chalkley
OBJECTIVES: We aimed to provide 'adequate analgesia' (which decreases the pain score by ≥2 and to <4 [0-10 scale]) and determine the effect on patient satisfaction. METHODS: We undertook a multicentre, cluster-randomised, controlled, intervention trial in nine EDs. Patients with moderate pain (pain score of ≥4) were eligible for inclusion. The intervention was a range of educational activities to encourage staff to provide 'adequate analgesia'. It was introduced into five early intervention EDs between the 0 and 6 months time points and at four late intervention EDs between 3 and 6 months...
December 2015: Emergency Medicine Australasia: EMA
Manon Durand Bechu, Vincent Mouysset, Vincent Minville, Vincent Bounes, Charles H Houze-Cerfon
OBJECTIVE: To compare the perception by naive patients, emergency services clinicians and nurses, of healthcare-induced pain for procedures performed frequently by accident and emergency services. METHODS: A prospective, three-part anonymous survey, given to caregivers and patients at arrival accident and emergency services. The primary endpoint was the a priori estimated pain score for 10 procedures performed frequently by accident and emergency services. The same estimation was performed with the 'willingness to pay' method (amount allocated a priori to avoid this pain)...
August 2016: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
Michael Gottlieb, Damali Nakitende
Clinical question Do calcium channel blockers or alpha blockers improve renal stone passage when compared with placebo? Article chosen Pickard R, Starr K, MacLennan G, et al. Medical expulsive therapy in adults with ureteric colic: a multicentre, randomised, placebo-controlled trial. Lancet 2015;386(9991):25-31, doi: 10.1016/S0140-6736(15)60933-3.
March 2017: CJEM
2015-11-23 06:25:18
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