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Musculoskeletal pain management in the Emergency Department

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Kyriaki Seremeti, George Vasilopoulos, Georgia Toylia, Olga Kadda, Ioannis Sapountzis, Evangelia Kourousi, Dimitra Karimali, Antonia Kalogianni, Meletis Rozis
Kyriaki Seremeti, George Vasilopoulos, Georgia Toylia, Olga Kadda, Ioannis Sapountzis, Evangelia Kourousi, Dimitra Karimali, Antonia Kalogianni, Meletis Rozis

Abstract


Introduction: The intensity of acute musculoskeletal pain is underestimated by health providers. Analgesia in adults that receive treatment for acute musculoskeletal pain varies from 11-29%. The timely and effective treatment of pain should become priority for the adequate pain management.

Aim: The aim of the present study was to explore musculoskeletal pain management in the emergency department (ED).

Material and Method: This is a descriptive study. The studied sample consisted of 82 patients, who admitted in the ED of Athen’s general hospital, due to acute musculoskeletal pain. For data collection, a special designed registration form was used. Related measurements were completed at two time points; the first time point was during patients’ admission to ED and the second one, 30 minutes post treatment or post ED discharge.

Results: Patients average pain score was 7.25 ± 1.85 (first time point) and 3.76 ± 2.66 (second time point). Analgesia was provided to 51.2% of the sample and non-invasive methods were used in 51.2%. As for the frequency of the administrated drugs, analgesics were mostly preferred (29.3%), nonsteroidal anti-inflammatory drugs (NSAIDs) at 25.6% and opioids were used only at 9.8%. The mean time to first anministrated analgesic therapy was 16.56 ± 32.89 min.

Conclusions: In spite of the extensive research and international guidelines for pain management, the fulfillment of the patients’ expectations for adequate and timely relief remains a challenge. The key for successful pain management lies to further education of medical stuff.

 


Keywords


Μusculoskeletal pain; emergency department; analgesia; oligoanalgesia; acute pain; pain management

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References


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