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Prevalence and relief of pain in trauma patients in emergency medical services

Prevalence and relief of pain in trauma patients in emergency medical services
Prevalence and relief of pain in trauma patients in emergency medical services
Objectives: The aim of this study was to give insight in the prevalence of pain, and the (effect of) pain management according to the national emergency medical services analgesia protocol in trauma patients in the Netherlands.

Methods: The retrospective document study included adult and alert trauma patients. Data collection concerned patient characteristics, prevalence of pain, and the (effect of) pain management. Actual pain management was compared with the national emergency medical services analgesia protocol for paramedics. Pain relief was defined as a decrease on the Numeric Rating Scale.

Results: One thousand four hundred and seven trauma patients were included. A report on pain was missing in 28% of the patients (n=393), 2% of the patients (n=34) reported no pain, and the prevalence of pain was reported by 70% of the patients (n=980). Of the patients in pain, 31% (n=311) had a systematic pain assessment (Numeric Rating Scale) at the scene of accident and the median pain score was 6 (interquartile range=3 to 8). Pharmacological pain treatment was administered to 42% of the patients in pain (n=410), and consisted mainly of intravenous fentanyl. Nonpharmacological pain treatments were cleaning of wounds (n=189), and application of splints or immobilizing bandages (n=130). Pain relief on arrival in the emergency department could only be evaluated in 15% of the patients in pain (n=149).

Discussion: Prevalence of pain in trauma was high, and without consistent “objective” reporting of pain it is difficult to evaluate the effectiveness of pain management, despite the adherence to clinical practice guideline or protocol. Paramedics need to elicit and report validated pain measurements.
emergency medical services, ambulances, prevalence, pain measurements, wounds and injuries, analgesia
0749-8047
587-592
Berben, Sivera A.A.
b6255534-a8bb-418b-9961-c320200283cf
Schoonhoven, Lisette
46a2705b-c657-409b-b9da-329d5b1b02de
Meijs, Tineke H.J.M.
baa55438-8e86-4cc8-a7f8-eef17950e805
van Vugt, Arie B.
6c3b9fa2-3ae1-4b67-ad5d-52247e29e58f
van Grunsven, Pierre M.
d86f6be8-4138-4ebf-8f8c-05680a6739f8
Berben, Sivera A.A.
b6255534-a8bb-418b-9961-c320200283cf
Schoonhoven, Lisette
46a2705b-c657-409b-b9da-329d5b1b02de
Meijs, Tineke H.J.M.
baa55438-8e86-4cc8-a7f8-eef17950e805
van Vugt, Arie B.
6c3b9fa2-3ae1-4b67-ad5d-52247e29e58f
van Grunsven, Pierre M.
d86f6be8-4138-4ebf-8f8c-05680a6739f8

Berben, Sivera A.A., Schoonhoven, Lisette, Meijs, Tineke H.J.M., van Vugt, Arie B. and van Grunsven, Pierre M. (2011) Prevalence and relief of pain in trauma patients in emergency medical services. The Clinical Journal of Pain, 27 (7), 587-592. (doi:10.1097/AJP.0b013e3182169036). (PMID:21505324)

Record type: Article

Abstract

Objectives: The aim of this study was to give insight in the prevalence of pain, and the (effect of) pain management according to the national emergency medical services analgesia protocol in trauma patients in the Netherlands.

Methods: The retrospective document study included adult and alert trauma patients. Data collection concerned patient characteristics, prevalence of pain, and the (effect of) pain management. Actual pain management was compared with the national emergency medical services analgesia protocol for paramedics. Pain relief was defined as a decrease on the Numeric Rating Scale.

Results: One thousand four hundred and seven trauma patients were included. A report on pain was missing in 28% of the patients (n=393), 2% of the patients (n=34) reported no pain, and the prevalence of pain was reported by 70% of the patients (n=980). Of the patients in pain, 31% (n=311) had a systematic pain assessment (Numeric Rating Scale) at the scene of accident and the median pain score was 6 (interquartile range=3 to 8). Pharmacological pain treatment was administered to 42% of the patients in pain (n=410), and consisted mainly of intravenous fentanyl. Nonpharmacological pain treatments were cleaning of wounds (n=189), and application of splints or immobilizing bandages (n=130). Pain relief on arrival in the emergency department could only be evaluated in 15% of the patients in pain (n=149).

Discussion: Prevalence of pain in trauma was high, and without consistent “objective” reporting of pain it is difficult to evaluate the effectiveness of pain management, despite the adherence to clinical practice guideline or protocol. Paramedics need to elicit and report validated pain measurements.

Full text not available from this repository.

More information

Accepted/In Press date: 19 February 2011
Published date: September 2011
Keywords: emergency medical services, ambulances, prevalence, pain measurements, wounds and injuries, analgesia
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 386284
URI: https://eprints.soton.ac.uk/id/eprint/386284
ISSN: 0749-8047
PURE UUID: ef1e66be-74ca-448c-8f5e-a55f6a430f23
ORCID for Lisette Schoonhoven: ORCID iD orcid.org/0000-0002-7129-3766

Catalogue record

Date deposited: 29 Jan 2016 14:16
Last modified: 06 Jun 2018 12:30

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