Pharmacist's impact on acute pain management during trauma resuscitation

Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses
Kayla MontgomeryGeorgia Keriazes

Abstract

The timely administration of analgesics is crucial to the comprehensive management of trauma patients. When an emergency department (ED) pharmacist participates in trauma resuscitation, the pharmacist acts as a medication resource for trauma team members and facilitates the timely administration of analgesics. This study measured the impact of a pharmacist on time to first analgesic dose administered during trauma resuscitation. All adult (>18 years) patients who presented to this level II trauma center via activation of the trauma response system between January 1, 2009, and May 31, 2013, were screened for eligibility. For inclusion, patients must have received intravenous fentanyl, morphine, or hydromorphone in the trauma bay. The time to medication administration was defined as the elapsed time from ED arrival to administration of first analgesic. There were 1328 trauma response system activations during the study period; of which 340 patients were included. The most common analgesic administered was fentanyl (62% in both groups). When a pharmacist was participating, the mean time to first analgesic administered was decreased (17 vs 21 minutes; P = .03). Among the 78% of patients with documented pain scores, the overall mean...Continue Reading

References

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Aug 15, 2013·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Albert AminiAsad E Patanwala

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Citations

Aug 12, 2016·The American Journal of Emergency Medicine·Kayla MontgomeryGeorgia Keriazes
May 16, 2017·Emergency Medicine Journal : EMJ·Zlatan Coralic, Bryan D Hayes
Oct 28, 2017·Journal of Medical Toxicology : Official Journal of the American College of Medical Toxicology·Brenna M FarmerLewis Nelson
Feb 7, 2018·Emergency Medicine Australasia : EMA·Cristina RomanBiswadev Mitra
May 29, 2018·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Cristina RomanBiswadev Mitra
Aug 2, 2019·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Blake A PorterNicole M Acquisto
Jan 23, 2021·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Melinda J OrtmannDavid E Zimmerman

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