Measurement of the pain levels of patients with extremity traumas and assessment of the attitudes of emergency physicians to pain management
Measurement of the pain levels of patients with extremity traumas and assessment of the attitudes of emergency physicians to pain management
Aim: In this study, we aimed to measure the pain levels of patients with isolated extremity injuries due to low energy trauma, usingpain scales in the emergency department (ED).Material and Methods: Patients were included in the studybetween January and March 2017. The trauma-related pain levels of thepatients were assessed at the time of the initial examination and in the 45th minute. Three different scales; the ‘Wong-Baker FACESPain Rating Scale’(WBS), ‘Verbal Rating Scale’(VRS), and ‘Numeric Pain Rating Scale’ (NPRS) were used to measure the levels ofpain.Results: 236 patients were included in the study. At the time of the initial admission to the ED, 77% of patients had “Even More” painand worse according to the WBS, 67% had a pain score of 60 and above according to the Scale NPRS, and 74% had severe and worsepain according to the VRS. Analgesics were given to 11% of patients. A statistically significant decrease was detected in the painscale scores of patients who were treated in the ED compared to the patients who were not treated (p
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- Gross E.A., Martel M. Multiple Trauma, Chapter 36 Trauma part 2. John Marx Robert Hockberger Ron Walls Rosen’s Emergency Medicine, Concepts and Clinical Practice, 8th Edition New York: Mc Grav Hill Education; 2013. p. 287-98.
- Ahmadi A, Bazargan-Hejazi S, Heidari Zadie Z, et al. Pain management in trauma: A review study. J Inj Violence Res. 2016;8:89-98.
- Ferreira-Valente MA, Pais-Ribeiro JL, Jensen MP Validity of four pain intensity rating scales. PAIN. 2011;152 2399-404.
- Stephen H Thomas. Management of Pain in the emergency department, ISRN emergency medicine volume. 2013;
- Geiderman JM, Katz D, General principles of orthopedic injuries. chapter 49, orthopedıc lesıons. Section Three. Rosens 2014.
- Alavi NM, Aboutalebi MS, Sadat Z. Verbal and. non-verbal rating scales in the determination of pain severity in trauma patients in the emergency department. Trauma Mon. 2017;22:e25780.
- Motov SM, Marshall JP. Acute pain management curriculum for emergency medicine residency programs. Acad Emerg Med. 2011;18:S87-S91.
- Silka PA, Roth MM, Geiderman JM. Patterns of analgesic use in trauma patients in the ED. Am J Emerg Med. 2002;20:298-302.
- Haonga BT, Makupa JE, Muhina RI, et al. Pain management among adult patients with fractures of long bones at Muhimbili Orthopaedic Institute in Dar es Salaam, Tanzania. Tanzan Health Res. 2011;13:107-11.
- Adam J. Singer, Judd E. Hollander. Wound evaluation chapter 39. Wound Management. section 6. Tintinalli JE, Stapczynski JS, Ma OJ, Yealy DM, Meckler GD, Cline DM, editor. Tintinalli’s Emergency Medicine: A ComprehensiveStudy Guide. 8th ed. New York: Mc Grav Hill Education; 2016. p. 263-67.
- Pollack CV Jr, Viscusi ER. Viscusi. Improving acute pain management in emergency medicine. Hosp Pract(1995). 2015;43:36-45.
- Todd KH, Ducharme J, Choiniere M, et al. Pain in the emergency department: results of the pain and emergency medicine initiative (PEMI) multicenter study. J Pain. 2007;8:460-6.
- Silka PA, Roth MM, Geiderman JM. Patterns of analgesic use in trauma patients in the ED. Am J Emerg Med. 2002;20:298-302.
- Puntillo KA, Wild LR, Morris AB, et al. Practices and predictors of analgesic interventions fo radults undergoing painful procedures. Am J Crit Care. 2002;11:415-29.