Chambers J A, Guly H R
Accident and Emergency Department, Derriford Hospital, Plymouth.
Arch Emerg Med. 1993 Sep;10(3):187-92. doi: 10.1136/emj.10.3.187.
Many patients arrive at the accident and emergency (A&E) department in pain. To quantify this problem a retrospective analysis was performed of the clinical records of 502 consecutive patients arriving by ambulance at the A&E department over a 20-day period. A total of 273 (54%) of the patients had pain as a symptom on arrival and 69 (14%) were given opioid analgesia in the A&E department. Sixty of those given opioids had a single limb fracture. A survey of all ambulance services in the U.K. was conducted by means of a postal questionnaire sent to chief ambulance officers. Only five out of 65 services give any analgesia other than Entonox (B.O.C.). There were wide variations in the attitudes of services around the country to future developments. The authors suggest that paramedics should be trained to administer intravenous opioid analgesia.
许多患者在疼痛中被送往事故与急救（A&E）科室。为了量化这一问题，对20天内通过救护车连续送至A&E科室的502例患者的临床记录进行了回顾性分析。总计273例（54%）患者到达时伴有疼痛症状，其中69例（14%）在A&E科室接受了阿片类镇痛治疗。接受阿片类药物治疗的患者中有60例发生单肢骨折。通过向首席救护官发送邮政问卷的方式，对英国所有救护服务进行了调查。65项服务中只有5项提供除恩托诺克斯（B.O.C.）之外的任何镇痛措施。全国各地的服务机构对未来发展的态度存在很大差异。作者建议，护理人员应接受静脉注射阿片类镇痛药物的培训。
