The Treatment of Acute Pain in the Emergency Department: A White Paper Position Statement Prepared for the American Academy of Emergency Medicine

Motov, Sergey; Strayer, Reuben J.; Hayes, Bryan D.; Reiter, Mark; Rosenbaum, Steven; Richman, Melanie; Repanshek, Zachary; Taylor, Scott; Friedman, Benjamin W.; Vilke, Gary M.; Lasoff, Daniel

doi:10.1016/j.jemermed.2018.01.020

Cited by 52 publications

(44 citation statements)

References 51 publications

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“…The Treatment of Acute Pain in the Emergency Department: A White Paper Position Statement Prepared for the American Academy of Emergency Medicine ( Motov et al, 2018 )…”

Section: Methodsmentioning

confidence: 99%

The Opioid-overdose Reduction Continuum of Care Approach (ORCCA): Evidence-based practices in the HEALing Communities Study

Winhusen¹,

Walley²,

Fanucchi³

et al. 2020

Drug and Alcohol Dependence

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Highlights An approach to community implementation of evidence-based practices (EBPs) was needed. The Opioid-overdose Reduction Continuum of Care Approach (ORCCA) was developed. ORCCA outlines: evidence-based strategies, priority populations, community settings. ORCCA is a flexible framework for EBP implementation to reduce opioid-overdose deaths.

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“…The Treatment of Acute Pain in the Emergency Department: A White Paper Position Statement Prepared for the American Academy of Emergency Medicine ( Motov et al, 2018 )…”

Section: Methodsmentioning

confidence: 99%

The Opioid-overdose Reduction Continuum of Care Approach (ORCCA): Evidence-based practices in the HEALing Communities Study

Winhusen¹,

Walley²,

Fanucchi³

et al. 2020

Drug and Alcohol Dependence

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“…Pain is functionally classified as either physiological pain: short, acute, and alarming, or as pathological pain: '"maladaptive pain" [..] usually (but not always) persistent or chronic' [39, p32]. We focus on a context with acute pain conditions [25].…”

Section: Introductionmentioning

confidence: 99%

“…Daily, 70% of visits to a hospital's emergency department (ED) are related to pain [4,25], which naturally consists mostly of acute pain. Undergoing medical treatment in these emergency rooms correlates with additional pain, stress, and anxiety [31].…”

Section: Introductionmentioning

confidence: 99%

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Anim3

Visscher

Kolkmeier

Langener

et al. 2020

Extended Abstracts of the 2020 Annual Symposium on Computer-Human Interaction in Play

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Figure 1: The virtual dog outing park where one can interact with the dog. The user can pick up the ball once it is released by the dog by clicking on it, and then has to aim the ball to hit the target, after which the ball is retrieved by the dog. In other moments, it can be fed a bone or drink from a bowl by clicking on that object. The interactions are created for immersive Virtual Reality, for which we foresee opportunities to distract the participant by maintaining a high level of presence in a situation of "acute pain" to lower the pain experience.

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“…Particularly in the setting of the current opioid crisis, there is growing interest in opioid-sparing analgesic techniques [3, 7, 21, 23]. A recent AAEM position paper on the management of acute pain in the ED calls for “pain-syndrome targeted” strategies including regional anesthesia [13].…”

Section: Introductionmentioning

confidence: 99%

Interscalene brachial plexus nerve block in the emergency department: an effective and practice-changing workshop

et al. 2019

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Background The interscalene brachial plexus nerve block (ISNB) is a potentially useful method of regional analgesia for humerus fracture and shoulder dislocation reduction in the Emergency Department (ED). We examined the effectiveness of an ISNB workshop given to emergency medicine (EM) residents. We also explored complication rates and effectiveness of ISNBs performed in the ED. Methods One-hour evidence-based ISNB workshops were conducted with EM residents. Participants were given pre-, post-, and 3-month post-workshop knowledge and technical assessments. Results were analyzed using descriptive statistics. A pre- and post-workshop chart review examined ISNB utilization, complications, post-ISNB opiate administration, and post-ISNB procedural sedation. Results 41 residents enrolled in the workshop. Pre-workshop pass rate: knowledge assessment 22%. Immediate post-workshop pass rates: knowledge assessment 100%, image acquisition 93%, needle placement 100%. Three months post-workshop pass rates: knowledge assessment 73%, image acquisition 76%, needle placement 100%. Areas of poorest knowledge retention were anatomical landmarks, block distribution, and early signs of LAST. In the chart review, 2 ISNBs were performed in the pre-workshop period, and 12 in the post-workshop period. No serious complications were recorded. 78.5% of attempted ISNBs were successful, without need for procedural sedation. Of the 11 successfully performed ISNBs, 91% received no opiates after the procedure. Conclusions Our study suggests that EM residents can learn the ISNB, perform it safely in the emergency department, and that the ISNB may be an alternative to procedural sedation and opiate use for shoulder dislocation. Residents are adept at ISNB technical skills but demonstrate some deficits in knowledge retention.

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The Treatment of Acute Pain in the Emergency Department: A White Paper Position Statement Prepared for the American Academy of Emergency Medicine

Cited by 52 publications

References 51 publications

The Opioid-overdose Reduction Continuum of Care Approach (ORCCA): Evidence-based practices in the HEALing Communities Study

The Opioid-overdose Reduction Continuum of Care Approach (ORCCA): Evidence-based practices in the HEALing Communities Study

Anim3

Interscalene brachial plexus nerve block in the emergency department: an effective and practice-changing workshop

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