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Prehospital pediatric pain management has been poorly understood and sub-optimally treated.1-3 Pain scales for children differ from adult pain scales and it is unclear if pain assessments are well documented, particularly in infants and toddlers.4-6 Surveys of emergency medical services (EMS) personnel identify barriers to pain management including discomfort with emergency care of injured children, concern for allergic reactions, additional pain from intravenous catheter insertion, parental influence, as well as lack of knowledge and experience secondary to the relatively infrequent treatment of acutely injured children.7-9

The effectiveness of prehospital pain medication administration for children is unknown, as is the efficacy of basic, non-pharmacological measures such as splinting and icing for pain management. Historically, opioids for pediatric pain management have been in widespread use.10 The American Academy of Pediatrics (AAP 11) and several other national organizations created a joint policy statement in 2009 that reaffirms the importance of pain assessment and treatment, including sedation and analgesia, as a potential development topic for pediatric care and professional performance.

Publication Date

5-2024

Keywords

pediatric, pain management

Disciplines

Emergency Medicine | Translational Medical Research

Comments

The Embark Capstone Colloquium at the Oakland University William Beaumont School of Medicine, Rochester Hills, MI, May, 2024.

Characterizing the Effectiveness of Prehospital Pediatric Pain Management in Children with Long Bone Fractures

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