The Resus Room Pain; Roadside to Resus
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Jun 19, 2025 Delve into the intricacies of pain management in emergency settings. Learn how up to 70% of prehospital patients report pain, making its management critical. Explore the biological, psychological, and social dimensions of pain, emphasizing personalized treatment approaches. The discussion covers effective strategies, from paracetamol to nerve blocks, and addresses barriers like bias and inequalities in care. Special attention is given to unique patient groups, ensuring everyone gets the relief they deserve.
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Pain Scales for Special Groups
- Use pediatric-specific pain scales like FLACC and Wong-Baker faces to assess children.
- Employ ABBYE scale for patients with cognitive impairment to guide pain assessment accurately.
Integrate Non-Pharmacological Pain Relief
- Use non-pharmacological methods like reassurance, clear communication, relaxation, and distraction to reduce pain and anxiety.
- Integrate these techniques with pharmacological treatment as part of a multimodal pain management approach.
Paracetamol as Core Analgesic
- Consider paracetamol as a foundation for multimodal analgesia; it has good opioid-sparing effect and minimal side effects.
- Choose oral or IV paracetamol based on patient needs, acknowledging IV is faster but more costly.