Reichl M, Bodiwala G G
Arch Emerg Med. 1987 Mar;4(1):25-31. doi: 10.1136/emj.4.1.25.
The adequate management of severe pain in accident and emergency departments depends on knowledge of the pharmacology of analgesic drugs. To evaluate such a knowledge a study by questionnaire was conducted. Fourteen accident and emergency departments participated and one hundred senior house officers answered the questionnaire. A large percentage of the respondents would use an inappropriate route of administration (intramuscular 50% rather than intravenous 50%), some would use an inappropriate drug and often wait too long (90 min) before giving a further dose of analgesic should the patient continue to be in severe pain after the initial dose. These results suggest that there is need for further teaching on pain relief at medical schools, casualty officers need to be taught about analgesia when they start working in accident and emergency departments, and it may be beneficial for accident and emergency departments to have an analgesic policy.
急症科对剧痛的妥善处理取决于对镇痛药药理学的了解。为评估这方面的知识，开展了一项问卷调查研究。14个急症科参与其中，100名高级住院医生回答了问卷。很大比例的受访者会采用不恰当的给药途径（50%选择肌肉注射而非50%选择静脉注射），一些人会使用不恰当的药物，而且如果患者在初始剂量后仍处于剧痛中，往往会等待过长时间（90分钟）才给予进一步剂量的镇痛药。这些结果表明，医学院校需要进一步开展疼痛缓解方面的教学，急诊医护人员在开始在急症科工作时需要接受镇痛方面的培训，而且制定镇痛政策可能对急症科有益。
