+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Pain scores improve analgesic administration patterns for trauma patients in the emergency department



Pain scores improve analgesic administration patterns for trauma patients in the emergency department



Academic Emergency Medicine 11(3): 264-270



To determine the efficacy of pain scores in improving pain management practices for trauma patients in the emergency department (ED). A prospective, observational study of analgesic administration to trauma patients was conducted over a nine-week period following educational intervention and introduction of verbal pain scores (VPSs). All ED nursing and physician staff in an urban Level I trauma center were trained to use the 0-10 VPS. Patients younger than 12 years old, having a Glasgow Coma Scale score (GCS) <8, or requiring intubation were excluded from analysis. Demographics, mechanism of injury, vital signs, pain scores, and analgesic data were extracted from a computerized ED database and patients' records. The staff was blinded to the ongoing study. There were 150 patients studied (183 consecutive trauma patients seen; 33 patients excluded per criteria). Pain scores were documented for 73% of the patients. Overall, 53% (95% confidence interval [CI] = 45% to 61%) of the patients received analgesics in the ED. Of the patients who had pain scores documented, 60% (95% CI = 51% to 69%) received analgesics, whereas 33% (95% CI = 18% to 47%) of the patients without pain scores received analgesics. No patient with a VPS < 4 received analgesics, whereas 72% of patients with a VPS > 4 and 82% with a VPS > 7 received analgesics. Mean time to analgesic administration was 68 minutes (95% CI = 49 to 87). Pain assessment using VPS increased the likelihood of analgesic administration to trauma patients with higher pain scores in the ED.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 049846661

Download citation: RISBibTeXText

PMID: 15001406

DOI: 10.1111/j.1553-2712.2004.tb02207.x


Related references

Mandatory documentation of pain in the emergency department increases analgesic administration but does not improve patients' satisfaction of pain management. Scandinavian Journal of Pain 13: 32-35, 2016

An Evaluation Of Pediatric Emergency Department Triage Pain Scores And Subsequent Analgesic Administration. Pediatric Emergency Care 22(9): 686-687, 2006

Lack of association between Press Ganey emergency department patient satisfaction scores and emergency department administration of analgesic medications. Annals of Emergency Medicine 64(5): 469-481, 2014

Adult emergency department patients with sickle cell pain crisis: a learning collaborative model to improve analgesic management. Academic Emergency Medicine 17(4): 399-407, 2010

Adult emergency department patients with sickle cell pain crisis: results from a quality improvement learning collaborative model to improve analgesic management. Academic Emergency Medicine 19(4): 430-438, 2012

Pain management in the emergency department: patterns of analgesic utilization. Pediatrics 99(5): 711-714, 1997

Intravenous parecoxib sodium as an analgesic alternative to morphine in acute trauma pain in the emergency department. International Journal of Emergency Medicine 7(1): 2, 2014

Pain scores for venipuncture among emergency department patients. American Journal of Emergency Medicine 35(4): 654, 2017

Pain scores among emergency department (ED) patients: comparison by ED diagnosis. Journal of Emergency Medicine 44(1): 46-52, 2013

Risk scores for patients with chest pain: evaluation in the emergency department. Current Cardiology Reviews 7(1): 2-8, 2011

Pain prevalence and pain relief in trauma patients in the Accident & Emergency department. Injury 39(5): 578-585, 2008

The Evaluation of Two Chest Pain Risk Scores in Emergency Department Observation Patients. Annals of Emergency Medicine 62(4): S36-S37, 2013

Performance of Coronary Risk Scores Among Patients With Chest Pain in the Emergency Department. Journal of the American College of Cardiology 71(6): 606-616, 2018

Lack of pain assessment for patients with cancer presenting to the emergency department with pain complaints: can we improve with a simple intervention?. Journal of Palliative Medicine 9(1): 7-9, 2006

Pain scores for intravenous cannulation and arterial blood gas test among emergency department patients. Enfermeria Clinica 28(6): 359-364, 2018