B Loryman1, F Davies, G Chavada, T Coats. 1. Accident and Emergency Department, Kettering General Hospital, Rothwell Road, Kettering, Northants NN16 8UZ, UK. ben.loryman@hotmail.co.uk
Abstract
OBJECTIVE: To determine the proportion of emergency departments in the UK that use modern pharmacological methods of pain and anxiety control in children, such as analgesia with intranasal diamorphine, procedural sedation using ketamine or midazolam, and adrenaline-cocaine gel, TAC or LAT for anaesthetising wounds in children. METHODS: A survey UK Emergency Departments conducted by email, post and telephone. RESULTS: Of the 183 (70%) of UK Emergency Departments responding, sedation is achieved using ketamine in 27% and using midazolam in 54%. In 55% of emergency departments intranasal diamorphine is used for analgesia and 41% use at least one of the topical local-anaesthetic mixtures to anaesthetise wounds before suturing. CONCLUSIONS: About half of UK emergency departments use modern pharmacological methods of procedural pain control in children. There is still considerable potential to improve the management of pain in children.
OBJECTIVE: To determine the proportion of emergency departments in the UK that use modern pharmacological methods of pain and anxiety control in children, such as analgesia with intranasal diamorphine, procedural sedation using ketamine or midazolam, and adrenaline-cocaine gel, TAC or LAT for anaesthetising wounds in children. METHODS: A survey UK Emergency Departments conducted by email, post and telephone. RESULTS: Of the 183 (70%) of UK Emergency Departments responding, sedation is achieved using ketamine in 27% and using midazolam in 54%. In 55% of emergency departments intranasal diamorphine is used for analgesia and 41% use at least one of the topical local-anaesthetic mixtures to anaesthetise wounds before suturing. CONCLUSIONS: About half of UK emergency departments use modern pharmacological methods of procedural pain control in children. There is still considerable potential to improve the management of pain in children.
Authors: S M Green; S G Rothrock; E L Lynch; M Ho; T Harris; R Hestdalen; G A Hopkins; W Garrett; K Westcott Journal: Ann Emerg Med Date: 1998-06 Impact factor: 5.721
Authors: Bénédicte Lombart; Daniel Annequin; Patricia Cimerman; Carla De Stefano; Odile Perrin; Celine Bouchart; Marie-Claire Schommer; Laura Ramelot; Céline Petit; Elisabeth Fournier-Charriere; Anne Caron; Solène Trebosc; Barbara Tourniaire; Michel Galinski Journal: Heliyon Date: 2019-08-02