PMID: 12782523Jun 5, 2003Paper

Acute pain is underassessed in out-of-hospital emergencies

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Thomas J LugerIngo H Lorenz

Abstract

To evaluate the quality of pain assessment by emergency medical services (EMS) in out-of-hospital emergencies. A prospective study was conducted on a convenience sample of patients during a one-year observation period. Pain ratings assessed by emergency patients were documented at three different intervals during the emergency call, and compared with concomitant assessments by EMS providers. A visual analog scale (VAS) and a verbal pain scale (VPS) were used for pain assessment. Repeated-measures ANOVA and Dunnett's t-test were used for data analysis. Fifty-one out of 70 eligible patients met inclusion criteria. In most emergency patients the intensity of pain was underestimated by EMS, especially when pain was severe (p = 0.0001). During the course of transport, both pain and pain assessment by EMS improved significantly (p = 0.0001). The VAS and VPS were significantly correlated (p = 0.0001). EMS providers significantly underestimate their patients' pain severity. EMS providers should be more attentive to their patients' complaints and comfort.

References

Jul 1, 1978·British Journal of Clinical Pharmacology·C Maxwell
Nov 1, 1976·Anaesthesia·S I RevillM I Hogg
Sep 1, 1986·The Journal of Burn Care & Rehabilitation·N S Iafrati
Nov 1, 1987·Journal of Advanced Nursing·E BondestamS Holmberg
Apr 1, 1994·Accident and Emergency Nursing·A D Cooper
May 1, 1993·Acta Anaesthesiologica Scandinavica·I U JuhlB Egelund
Apr 1, 1996·Annals of Emergency Medicine·J Menegazzi
Apr 1, 1996·Annals of Emergency Medicine·K H Todd
Mar 28, 1998·The American Journal of Emergency Medicine·F BerthierD Baron
Apr 8, 1998·Der Anaesthesist·K Hofmann-KieferK Peter

❮ Previous
Next ❯

Citations

Jul 9, 2013·International Emergency Nursing·Helen Pocock
Feb 9, 2005·Pediatric Emergency Care·Roy G Belville, Rawle A Seupaul
Apr 21, 2011·The Clinical Journal of Pain·Sivera A A BerbenPierre M van Grunsven
Sep 24, 2008·International Journal of Nursing Practice·Nayyereh DavoudiAli Akbar Haghdoost
Aug 19, 2010·International Journal of Clinical Practice·A NirubanP K Myint
Jun 16, 2004·BMC Medical Informatics and Decision Making·Emilia BielliMarcello Tamburini
Apr 2, 2008·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Eugene IzsakHeather A Stombaugh
Jan 19, 2006·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Scott C FrenchShu B Chan
Oct 13, 2009·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Mark Helfand, Michele Freeman
Jun 6, 2009·The American Journal of Emergency Medicine·Bill LordAnne-Maree Kelly
Oct 16, 2007·The Journal of Emergency Medicine·Agnes Ricard-HibonJean Marty
Jul 18, 2006·Emergency Medicine Australasia : EMA·Franz E BablStephen Bernard
Nov 21, 2007·Emergency Medicine Australasia : EMA·Paul BuntineStephen Bernard
Sep 13, 2016·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Virginia Schmied BlackmanLinda S Franck
Nov 1, 2016·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Virginia Schmied BlackmanLinda S Franck
Apr 12, 2005·Der Schmerz·M LungenhausenM Zenz
Jun 1, 2019·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Andrit LourensPeter Hodkinson
Nov 5, 2021·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·M I HarrisL R Browne

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.