Assessment of Pain Management In Pediatric ED In Mashhad

Document Type: Original Article

Authors

Assistant Professor of Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Introduction: Pain may be described as a feeling of hurt or strong discomfort and is the body's way of sending a message to the brain that an injury has occurred. Pain medicine blocks these messages or reduces their effect on the brain. Timely administration of analgesia affects the entire emergency medical experience and can have a lasting effect on a child’s and family’s reaction to current and future medical care. The purpose of this study was to assess pain management in children in our emergency department.
Methods: In this study we have evaluated relief of pain and anxiety in 100pediatric patients who referred to our Emergency Department in Mashhad. The AAP recommendations about pain management in children were assessed in these patients.
Results: In these patients the main procedures have done include: IV Line 97%, Intubation 5%, Lumbar Puncture 28%. We evaluate AAP criteria about pain management in painful diagnostic and therapeutic procedures in children. Training has been provided to 70% participants in the Emergency Department. Nonpharmacologic stress reduction was used in 35%.Family presence was allowed in only 5% of cases. Prehospital pain assessment was began  for 20% and continued in ED in 40% , when they were discharged 40% have received analgesic administrations .Administrations were painless in only 3%. Only 7% of neonates and young infants have received pain prophylaxis for procedures. Administration of pain medication was done for 45% of patients with abdominal pain. Sedation and pain prophylaxis has been provided for 10% patients undergoing painful or stressful procedures in the ED.
Conclusion:  According to results pain management in our Pediatric Emergency Department was inadequate. Physicians and prehospital EMS providers should be aware of all the available analgesic and sedative options

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