Are you under treating pain in your ED?

Conclusion While I commend efforts to minimize any harm our therapies may have on patients, I remain unconvinced that using the maximum recommended dose of NSAIDs in the Emergency Department will have a net negative effect on them. In fact, given the systemic issue of oligoanalgesia in the ED, I’ll happily stick with 800 mg of ibuprofen, whether it be for my patients or myself. References: Motov S, Masoudi A, Drapkin J, et al. Comparison of Oral Ibuprofen at Three Single-Dose Regimens for Treating Acute Pain in the Emergency Department: A Randomized Controlled Trial. Ann Emerg Med. 2019;74(4):530-537. doi:10.1016/j.annemergmed.2019.05.037 Motov S, Yasavolian M, Likourezos A, et al. Comparison of Intravenous Ketorolac at Three Single-Dose Regimens for Treating Acute Pain in the Emergency Department: A Randomized Controlled Trial. Ann Emerg Med. 2017;70(2):177-184. doi:10.1016/j.annemergmed.2016.10.014 Strom BL, Berlin JA, Kinman JL, et al. Parenteral ketorolac and risk of gastrointestinal and operative site bleeding. A postmarketing surveillance study. JAMA. 1996;275(5):376-382. Lewis LM, Lasater LC, Brooks CB. Are emergency physicians too stingy with analgesics?. South Med J. 1994;87(1):7-9. doi:10.1097/00007611-199401000-00002 Wilson JE, Pendleton JM. Oligoanalgesia in the emergency department. Am J Emerg Med. 1989;7(6):620-623. doi:10.1016/0735-6757(89)90286-6 Guru V, Dubinsky I. The patient vs. caregiver perception of acute pain in the emergency department. J Emerg Med....
Source: EPMonthly.com - Category: Emergency Medicine Authors: Source Type: news