Emergency Department Pain Management: Beyond Opioids (Pharmacology CME and Pain Management CME) | Digest
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Emergency Department Pain Management: Beyond Opioids

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Points and Pearls Excerpt

  • Although assessment of pain is essential to its treatment, visual analog and numerical rating scales are problematic.
  • Many pain specialists are moving to assessing pain with functional assessments. The Brief Pain Inventory Short Form (BPI-SF) has been found to be feasible for use in the ED.
  • In the prehospital setting, ketamine has been used at 0.3 mg/kg for analgesia, with promising results when compared to fentanyl.
  • Consider nonpharmacologic treatment of pain such as immobilization, splinting, orthopedic reduction, heat or ice, electrical nerve stimulation, deep breathing, music therapy, aromatherapy, guided imagery, verbal suggestion, and family support.

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Publication Information
Authors

Abdulaziz Almehlisi, MBBS; Christopher Tainter, MD, RDMS

Peer Reviewed By

Al O. Giwa, LLB, MD, MBA, FACEP, FAAEM; Christopher Hahn, MD

Publication Date

November 1, 2019

CME Expiration Date

November 1, 2022

Pub Med ID: 31647862

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