Pain Management in the Emergency Department: a Review Article on Options and Methods
Journal Title: Advanced Journal of Emergency Medicine - Year 2018, Vol 2, Issue 4
Abstract
Context: The aim of this review is to recognizing different methods of analgesia for emergency medicine physicians (EMPs) allows them to have various pain relief methods to reduce pain and to be able to use it according to the patient’s condition and to improve the quality of their services. Evidence acquisition: In this review article, the search engines and scientific databases of Google Scholar, Science Direct, PubMed, Medline, Scopus, and Cochrane for emergency pain management methods were reviewed. Among the findings, high quality articles were eventually selected from 2000 to 2018, and after reviewing them, we have conducted a comprehensive comparison of the usual methods of pain control in the emergency department (ED). Results: For better understanding, the results are reported in to separate subheadings including “Parenteral agents” and “Regional blocks”. Non-opioids analgesics such as nonsteroidal anti-inflammatory drugs (NSAIDs) and acetaminophen are commonly used in the treatment of acute pain. However, the relief of acute moderate to severe pain usually requires opioid agents. Considering the side effects of systemic drugs and the restrictions on the use of analgesics, especially opioids, regional blocks of pain as part of a multimodal analgesic strategy can be helpful. Conclusion: This study was designed to investigate and identify the disadvantages and advantages of using each drug to be able to make the right choices in different clinical situations for patients while paying attention to the limitations of the use of these analgesic drugs.
Authors and Affiliations
Ali Abdolrazaghnejad, Mohsen Banaie, Nader Tavakoli, Mohammad Safdari
Keywords
Related Articles
- EP ID EP378264
- DOI 10.22114/ajem.v0i0.93
- Views 145
- Downloads 0
Prof. Abdelouahab Bellou, MD, MSc, PhD; Director of Quality & Safety, Administration & Leadership, and International Emergency Medicine Fellowship, Harvard Medical School, USA
What is your current position? Professor of Therapeutics and Emergency Medicine, Associate Professor of Emergency Medicine, Harvard Medical School, Past-President of the European Society for Emergency Medicine (EuSEM). D...
Critical Care Medicine: Bangladesh Perspective
Bangladesh became an independent and sovereign country in 1971 following a nine-month blood shedding liberation war. Bangladesh has a population of about 152.25 million, making it one of the most populous countries in th...
Fever and Flank Pain in a Diabetic Woman; a Case of Emphysematous Pyelonephritis
Case presentation: A 55–year-old diabetic woman presented to the emergency department with a complaint of nausea, vomiting, right upper abdominal pain, and fever with chills since 10 days. She revealed a 10-year history...
Radial Head Subluxation: Possible Effective Factors on Time to Re-use the Affected Limb
Introduction: Radial head subluxation (RHS) is a common disorder in children. Although it is not accompanied by any important short- or long-term sequel, it could make the parents worried about. Objective: The purpose of...
Educational Intervention Effect on Pain Management Quality in Emergency Department; a Clinical Audit
Introduction: Pain is a frequent complaint of patients who are referred to the emergency department (ED), which is ignored or mismanaged and, almost always, approached in terms of determining the cause of pain instead of...