RCEM Learning December 2024
16 snips
Dec 2, 2024 In this festive discussion, the hosts explore innovative surgical techniques for treating hemorrhagic strokes, including minimally invasive methods. They tackle the pressing issues of acute pain management in emergency settings, stressing the importance of a pain-vigilant culture and effective communication among healthcare professionals. The revival of the BestBETS project aims to enhance evidence-based practices in emergency medicine. Listeners are also invited to reflect on the past year while looking forward to 2025 and upcoming conferences.
AI Snips
Chapters
Transcript
Episode notes
Audit Yourself And Teach Pain More
- Audit your own notes: periodically review recent patients to judge if you prescribed appropriate analgesia.
- Add formal pain-management teaching into departmental education rather than relying on informal tips.
Biases Cause Inequitable Pain Care
- Racial and cultural bias affects pain assessment and management and contributes to inequitable outcomes like delirium and mortality.
- Clinicians must actively challenge biases and understand community-specific needs (e.g., Māori, Pacifica).
Follow Reassessment Time Targets
- Reassess pain by guideline timelines: severe (7–10) within 15 minutes, moderate (4–6) within 30 minutes, mild (1–3) within 60 minutes.
- Realistically adapt targets to local capacity but plan systems to support timely reassessment.