Physician Pain Reminder as an Intervention to Enhance Analgesia for Extremity and Clavicle Injuries in Pediatric Emergency

Rogovik, Alex L.; Rostami, Maryam; Hussain, S. Z.; Goldman, Ran D.

doi:10.1016/j.jpain.2006.05.011

Cited by 34 publications

(23 citation statements)

References 36 publications

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“…In our study, and contrary to what is recommended in the literature, pain was assessed without using validated scales. In relation to pain management in the PED, our results were observed to be somewhat better than in other studies 12,13,16 and similar to those observed by C. Johnston 14 and O'Donnell, 17 which included limb trauma cases and where only 39% and 49% of patients received analgesia during their stay in the emergency room. In our study, like in the ones by Rogovik 16 and Benini et al, 13 analgesia was prescribed at the time of discharge to most patients; whereas, in the studies by C. Johnston et al 14 and Kircher et al, 12 it was only prescribed to 9% and 24% of patients, respectively.…”

Section: Discussionsupporting

confidence: 86%

Assessment of orofacial pain management in a pediatric emergency department and at home after discharge

Red

Martín

Márquez

et al. 2018

Arch Argent Pediatr

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Section: Discussionsupporting

confidence: 86%

Assessment of orofacial pain management in a pediatric emergency department and at home after discharge

Red

Martín

Márquez

et al. 2018

Arch Argent Pediatr

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“…11,12 ED management of children's pain remains suboptimal. [13][14][15][16][17][18][19][20][21][22] MSK pain in very young children has been found to be particularly undertreated when compared to MSK pain in school-aged children. 23 To create system improvements in pain management, it is first important to define the analgesic practice patterns of physicians treating pediatric MSK injuries in Canadian EDs.…”

Section: Ré Sumémentioning

confidence: 99%

Pediatric musculoskeletal pain in the emergency department: a medical record review of practice variation

Kircher

Drendel

Newton

et al. 2014

CJEM

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Objective: Musculoskeletal (MSK) injuries are a common, painful pediatric presentation to the emergency department (ED). The primary objective of this study was to describe current analgesic administration practices for the outpatient management of children's MSK pain, both in the ED and postdischarge. Methods: We reviewed the medical records of consecutive pediatric patients evaluated in either a pediatric or a general ED (Edmonton, Alberta) during four evenly distributed calendar months, with a diagnosis of fracture, dislocation, strain, or sprain of a limb. Abstracted data included demographics, administered analgesics, pain scores, discharge medication advice, and timing of clinical care. Results: A total of 543 medical records were reviewed (n 5 468 pediatric ED, n 5 75 general ED). Nineteen percent had documented prehospital analgesics, 34% had documented in-ED analgesics, 13% reported procedural sedation, and 24% documented discharge analgesia advice. Of those children receiving analgesics in the ED, 59% (126 of 214) received ibuprofen. Pain scores were recorded for 6% of patients. At discharge, ibuprofen was recommended to 47% and codeine-containing compounds to 21% of children. The average time from triage to first analgesic in the ED was 121 6 84 minutes. Conclusions: Documentation of the assessment and management of children's pain in the ED is poor, and pain management appears to be suboptimal. When provided, ibuprofen is the most common analgesic used for children with MSK pain. Pediatric patients with MSK pain do not receive timely medication, and interventions must be developed to improve the ''door to analgesia'' time for children in pain. RÉ SUMÉObjectif: Les blessures musculosquelettiques (MS) douloureuses chez les enfants sont un motif fré quent de consultation au service des urgences (SU). L'é tude avait pour objectif principal de dé crire les pratiques actuelles de l'administration des analgé siques dans la prise en charge des douleurs MS, en mode ambulatoire, tant au SU qu'à domicile, aprè s le congé de l'hô pital. Mé thode: Ont é té passé s en revue les dossiers mé dicaux d'enfants consé cutifs, examiné s dans un SU gé né ral ou un SU pé diatrique (Edmonton [Alberta]) au cours de quatre mois civils ré partis é galement, pour un diagnostic de fracture, de dislocation, de foulure ou d'entorse d'un membre. Les renseignements recueillis comprenaient des donné es dé mographiques, les analgé siques administré s, les cotes de la douleur, les conseils sur les mé dicaments donné s au moment du congé et la duré e des soins cliniques. Ré sultats: Au total, 543 dossiers mé dicaux ont é té examiné s (n 5 468 au SU pé diatrique; n 5 75 au SU gé né ral). Dans 19% d'entre eux é tait consigné e la prise d'analgé siques en phase pré hospitaliè re; dans 34%, l'administration d'analgé siques au SU; dans 13%, l'administration de sé dation-analgé sie à des fins interventionnelles; et dans 24%, la prestation de conseils sur l'analgé sie au moment du congé . Parmi les enfants à qui l'on a prescrit des ana...

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“…En nuestro estudio, la evaluación del dolor se realizó, a diferencia de lo recomendado en la literatura, sin escalas validadas. 7,15 En cuanto al tratamiento del dolor en el SUP, se observaron resultados algo superiores a los de otros estudios 12,13,16 y similares a los…”

Section: Discussionunclassified

“…En nuestro trabajo, al igual que en el de Rogovik 16 y el de Benini et al, 13 se prescribió analgesia al momento del alta en la mayoría de los pacientes; mientras que, en el de C. Johnston et al, 14 y en el de Kircher et al, 12 solo fue prescrita en el 9% y el 24% de los casos.…”

Section: Figura 3 Adecuación De La Analgesia Al Grado De Dolor Del Nunclassified

Evaluación del manejo del dolor de la patología facial y oral en un Servicio de Urgencias Pediátrico y tras el alta domiciliaria

Red¹,

Martín²,

Márquez³

et al. 2018

Arch Argent Pediatr

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Physician Pain Reminder as an Intervention to Enhance Analgesia for Extremity and Clavicle Injuries in Pediatric Emergency

Cited by 34 publications

References 36 publications

Assessment of orofacial pain management in a pediatric emergency department and at home after discharge

Assessment of orofacial pain management in a pediatric emergency department and at home after discharge

Pediatric musculoskeletal pain in the emergency department: a medical record review of practice variation

Evaluación del manejo del dolor de la patología facial y oral en un Servicio de Urgencias Pediátrico y tras el alta domiciliaria

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