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Patil A, Srinivasarangan M, Ravindra P, et al. Studying Protocol-Based Pain Management in the Emergency Department. J Emerg Trauma Shock. 2017;10(4):180-188doi: 10.4103/JETS.JETS_83_16.
Patil, A., Srinivasarangan, M., Ravindra, P., & Mundada, H. (2017). Studying Protocol-Based Pain Management in the Emergency Department. Journal of emergencies, trauma, and shock, 10(4), 180-188. https://doi.org/10.4103/JETS.JETS_83_16
Patil, Akkamahadevi, et al. "Studying Protocol-Based Pain Management in the Emergency Department." Journal of emergencies, trauma, and shock vol. 10,4 (2017): 180-188. doi: https://doi.org/10.4103/JETS.JETS_83_16
Patil A, Srinivasarangan M, Ravindra P, Mundada H. Studying Protocol-Based Pain Management in the Emergency Department. J Emerg Trauma Shock. 2017 Oct-Dec;10(4):180-188. doi: 10.4103/JETS.JETS_83_16. PMID: 29097856; PMCID: PMC5663136.
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J Emerg Trauma Shock. 2017 Oct-Dec;10(4):180-188. doi: 10.4103/JETS.JETS_83_16.

Studying Protocol-Based Pain Management in the Emergency Department.

Journal of emergencies, trauma, and shock

Akkamahadevi Patil, Madhu Srinivasarangan, Prithvishree Ravindra, Harshit Mundada

Affiliations

  1. Department of Emergency Medicine, JSS Medical College and Hospital, Mysore, Karnataka, India.
  2. Department of Emergency Medicine, Kasturba Medical College, Manipal, Karnataka, India.
  3. Department of Emergency Medicine, St. John's Medical College and Hospital, Bengaluru, Karnataka, India.

PMID: 29097856 PMCID: PMC5663136 DOI: 10.4103/JETS.JETS_83_16

Abstract

BACKGROUND: Majority of the patients presenting to emergency department (ED) have pain. ED oligoanalgesia remains a challenge.

AIMS: This study aims to study the effect of implementing a protocol-based pain management in the ED on (1) time to analgesia and (2) adequacy of analgesia obtained.

SETTINGS AND DESIGN: Cross-sectional study in the ED.

METHODS: Patients aged 18-65 years of age with pain of numeric rating scale (NRS) ≥4 were included. A series of 100 patients presenting before introduction of the protocol-based pain management were grouped "pre-protocol," and managed as per existing practice. Following this, a protocol for management of all patients presenting to ED with pain was implemented. Another series of 100 were grouped as "post-protocol" and managed as per the new pain management protocol. The data of patients from both the groups were collected and analyzed.

STATISTICAL ANALYSIS USED: Descriptive statistical tests such as percentage, mean and standard deviation and inferential statistical tests such as Pearson coefficient, Student's

RESULTS: Mean time to administer analgesic was significantly lesser in the postprotocol group (preprotocol 20.30 min vs. postprotocol 13.05 min;

CONCLUSION: Protocol-based pain management provided timely and superior pain relief.

Keywords: Emergency department; numeric rating scale; oligoanalgesia; opioids; pain; patient satisfaction; protocol

Conflict of interest statement

There are no conflicts of interest.

References

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