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01-10-2020 | Paracetamol | Guidelines and position papers

Approaching acute pain in emergency settings; European Society for Emergency Medicine (EUSEM) guidelines—part 2: management and recommendations

Authors: Saïd Hachimi-Idrissi, Viliam Dobias, Wolf E. Hautz, Robert Leach, Thomas C. Sauter, Idanna Sforzi, Frank Coffey

Published in: Internal and Emergency Medicine | Issue 7/2020

Abstract

Background

In Europe, healthcare systems and education, as well as the clinical care and health outcomes of patients, varies across countries. Likewise, the management of acute events for patients also differs, dependent on the emergency care setting, e.g. pre-hospital or emergency department. There are various barriers to adequate pain management and factors common to both settings including lack of knowledge and training, reluctance to give opioids, and concerns about drug-seeking behaviour or abuse. There is no single current standard of care for the treatment of pain in an emergency, with management based on severity of pain, injury and local protocols. Changing practices, attitudes and behaviour can be difficult, and improvements and interventions should be developed with barriers to pain management and the needs of the individual emergency setting in mind.

Methods

With these principles at the forefront, The European Society for Emergency Medicine (EUSEM) launched a programme—the European Pain Initiative (EPI)—with the aim of providing information, advice, and guidance on acute pain management in emergency settings.

Results and conclusions

This article provides treatment recommendations from recently developed guidelines, based on a review of the literature, current practice across Europe and the clinical expertise of the EPI advisors. The recommendations have been developed, evaluated, and refined for both adults and children (aged ≥ 1 year, ≤ 15 years), with the assumption of timely pain assessment and reassessment and the possibility to implement analgesia. To provide flexibility for use across Europe, options are provided for selection of appropriate pharmacological treatment.

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Title: Approaching acute pain in emergency settings; European Society for Emergency Medicine (EUSEM) guidelines—part 2: management and recommendations
Authors: Saïd Hachimi-Idrissi
Viliam Dobias
Wolf E. Hautz
Robert Leach
Thomas C. Sauter
Idanna Sforzi
Frank Coffey
Publication date: 01-10-2020
Publisher: Springer International Publishing
Keywords: Paracetamol
Emergency Medicine
Opioids
Opioids
Care
Analgesics in Dentistry
Morphine
Codeine
Published in: Internal and Emergency Medicine / Issue 7/2020
Print ISSN: 1828-0447
Electronic ISSN: 1970-9366
DOI: https://doi.org/10.1007/s11739-020-02411-2

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Approaching acute pain in emergency settings; European Society for Emergency Medicine (EUSEM) guidelines—part 2: management and recommendations

Abstract

Background

Methods

Results and conclusions

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Abstract

Background

Methods

Results and conclusions

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