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Journal of The Korean Society of Emergency Medicine 1996;7(2): 294-298. |
| ANALYSIS OF PAIN MANAGEMENT IN THE EMERGENCY DEPARTMENT |
| Jun Young Chung, Byung Soo Do, Hyun Jyung Kim, Ho Suk Doh, Chang Hyun Lee, Sam Beom Lee |
| Department of Emergency Medicine, Yeungnam University College of Medicine |
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Published online: June 30, 1996. |
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| ABSTRACT |
Study objective: To recognize importance of pain management in ED and properly manage the ED patients complaining pain by analyzing the intervals between arrival time in ED and pain medicine starting time, the types and the administered routes of pain medicine.
Design: Retrospective review of ED charts
Setting: University teaching hospital
Participants: The patients had admitted in ED of Yeungnam University Hospital with a chief complaint of acute abdominal pain or pain due to bone fracture between June 1, 1995 and December 31, 1995.
Results:
The study group consisted of 256 patients, 161 of them female. ED administrations of analgesics were 103 cases, 17 of them administered more than two times. The average time interval between arrival time and medication time was 169. 02±120. 25 minutes. Each types of perceived analgesics were antispasmodics 55 cases (53. 40%), NSAID 26 cases (25. 24%) and
opioid 19 cases (18. 45%). Every analgesics were administered through intramuscular routes, except only 3 cases. Violences of patients or relatives due to delayed pain control were occured 32 cases, 5 cases of them self-discharged and looked for other hospitals.
Conclusion
Emergency physicians including interns and residents delayed pain management
so long and ordered inappropriate administration routes and types of analgesics. So we thought proper protocols about pain management in ED were established.
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| Key words:
Pain management in ED |
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