PMID: 9639173Jun 25, 1998Paper

Analgesia in the accident and emergency department: do SHOs have the knowledge to provide optimal analgesia?

Journal of Accident & Emergency Medicine
S SandhuD McHugh

Abstract

To assess senior house officers' knowledge in prescribing emergency analgesia for acute presentations in the accident and emergency (A&E) department. Prospective telephone survey of a defined population of SHOs, using a standardised structured questionnaire, in the months of October and November, 1995; 231 SHOs from 215 A&E departments were interviewed. The questionnaire required responses to hypothetical scenarios. A six member expert panel from the local region was consulted for suggestions for appropriate responses. Comparisons between SHO responses and those of an expert panel. For choice of analgesic agent, 83% of SHO responses were appropriate, for route of administration 57%, and for the dose of drug 34%. The scenario with the best overall response was a sprained ankle. The paediatric case with partial burns faired worse. Responses to a myocardial infarction scenario were the most consistent. A&E SHOs lack knowledge and confidence when asked to prescribe emergency analgesia for acute conditions. Responses to certain scenarios were extremely varied, indicating a need for national analgesia guidelines and protocols. Recognised training in pain management should be more readily available.

References

Sep 1, 1990·Annals of Emergency Medicine·S M Selbst, M Clark
Jan 1, 1989·The Clinical Journal of Pain·E V Boisaubin
Nov 1, 1989·The American Journal of Emergency Medicine·J E Wilson, J M Pendleton
Mar 1, 1987·Archives of Emergency Medicine·M Reichl, G G Bodiwala
Dec 1, 1995·The American Journal of Nursing
Apr 1, 1996·Annals of Emergency Medicine·M AfilaloJ Ducharme
Apr 1, 1996·Annals of Emergency Medicine·T E Terndrup
Apr 1, 1996·Annals of Emergency Medicine·W H Cordell
May 1, 1996·Journal of Accident & Emergency Medicine·S W Goodacre, R K Roden

❮ Previous
Next ❯

Citations

May 17, 2001·Emergency Medicine Journal : EMJ·L J SomersD C Hulbert
Jan 5, 2002·Emergency Medicine Journal : EMJ·S C MauriceT F Beattie
Apr 20, 2010·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Ahmad Al SamaraeeVish Bhattacharya
Nov 14, 2006·The American Journal of Emergency Medicine·Paul S Grant
Sep 4, 2012·Journal of Clinical Nursing·Jennifer TocherLesley Dickson
Sep 1, 2006·The Journal of Pain : Official Journal of the American Pain Society·Glenn Arendts, Margaret Fry
Apr 2, 2008·Emergency Medicine Australasia : EMA·Roberto ForeroHai Phung

❮ 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.