Parnass Adam J, Greenbaum Nathaniel R, Glick Michael A, Halpern Pinchas
Department of Emergency Medicine, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Eur J Emerg Med. 2016 Aug;23(4):311-314. doi: 10.1097/MEJ.0000000000000299.
Many studies illustrate variation in pain management protocols in emergency medicine. This study examines analgesia frameworks in emergency departments (EDs) in multiple countries, compares them with the recent literature, and illuminates the variability in protocols and treatment. A survey was conducted assessing the pain management framework and practices in a convenience sample of 40 hospitals distributed over 22 countries. Most EDs (80%) indicated that pain intensity was routinely documented, most commonly (42.5%) using a verbal numerical 0-10 scale. Most (57.5%) reported specific protocols for specific conditions, with 56.5% reporting that these protocols were mandatory. Structured training was reported by 27.5% of responders. All (100%) reported analgesia administration in the trauma room. Oral paracetamol (67.5%) and intravenous morphine (92.5%) were the most commonly used analgesics. The variability in the pain management framework is high among EDs worldwide, highlighting the need for more international uniformity in analgesia practices in the ED.
许多研究表明急诊医学中疼痛管理方案存在差异。本研究调查了多个国家急诊科的镇痛框架，将其与近期文献进行比较，并阐明了方案和治疗的变异性。对分布在22个国家的40家医院的便利样本进行了一项调查，评估其疼痛管理框架和实践。大多数急诊科（80%）表示会常规记录疼痛强度，最常用的方法（42.5%）是使用0至10的数字口头评分量表。大多数（57.5%）报告针对特定情况有具体方案，56.5%报告这些方案是强制性的。27.5%的受访者表示有结构化培训。所有受访者（100%）均报告在创伤室使用了镇痛药物。口服对乙酰氨基酚（67.5%）和静脉注射吗啡（92.5%）是最常用的镇痛药。全球急诊科的疼痛管理框架差异很大，这凸显了在急诊科镇痛实践中需要更多国际统一标准。
