PMID: 9530458Apr 8, 1998Paper

Quality of pain management in preclinical care of acutely ill patients

Der Anaesthesist
K Hofmann-KieferK Peter

Abstract

The aim of this study was to evaluate the quality of pain management in prehospital emergency care and to get more information about the administration of analgesics in prehospital patients. Patients with painful diseases or injuries who had been brought to Munich hospital's were included in the study. Immediately after having reached the hospitals' emergency department, they were evaluated using a 101-point visual analogue scale for the severity of pain at four predefined periods. Information about the patient, the diagnosis, and the analgesic treatment used by the emergency teams were drawn from the patient's chart. A total of 462 patients were included in the study. The mean pain score on arrival of the emergency team was 64 points; 36.5% of the patients were treated with analgesics. In 28.1% the emergency team tried to reduce pain through external measures (i.e., setting of fractures). In 35.3% there was no therapeutic intervention. In cases in which analgesic therapy was initiated, a definite reduction in pain was achieved during emergency care. Visual analogue scores decreased from 70 points at the beginning to 29 points at arrival to the hospital's emergency department. Analgesics were most frequently used for patients w...Continue Reading

Citations

Jul 14, 2004·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Agnes Ricard-HibonGérard Bleichner
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
Jan 23, 2014·European Journal of Pain : EJP·C FalchB L D M Brücher
Apr 21, 2011·The Clinical Journal of Pain·Sivera A A BerbenPierre M van Grunsven
Jun 5, 2003·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Thomas J LugerIngo H Lorenz
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

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