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The only reference on managing pain in the emergency room, this groundbreaking resource is the first book to provide an authoritative, clinical reference on managing acute pain and chronic pain problems in the ER. Includes drug and dosage tables throughout with details on drug therapeutics, regulations, drug-seeking patients, legal aspects of pain management and sedation, and more.
Procedural sedation is commonly used in the emergency department for patients undergoing painful procedures such as fracture reduction or electrical cardioversion. The fourth volume in the Essential Emergency Medicine series, Essential Emergency Procedural Sedation and Pain Management provides a unique interprofessional perspective on delivering procedural sedation and analgesia. The book is designed for staff physicians, residents, nurses, professionals, and allied health care workers. Although procedural sedation is commonly employed and recognized as a required skill set for emergency physicians, there is a lack of appropriate education in the area, and this book bridges gaps in training, especially in the interprofessional team setting.
Procedural sedation and analgesia represents one of the great advances in the maturation of emergency medicine as a discrete specialty within medicine. Once the exclusive domain of the anesthesiologist, sedation and pain management procedures are now a routine part of all emergency department practices. Emergency Sedation and Pain Management is a comprehensive medical text addressing emergency sedation and analgesia with specific emphasis on treatment of the emergency department patient. The easily accessible, clinically oriented format allows the reader fast and efficient access to the key points in each chapter. The text presents a clinical approach to the treatment of pain in emergency patients, including pediatric and adult populations. Analgesia, sedation, and anesthetic techniques are presented in an informative, authoritative, and concise format - written and edited by physicians with extensive research as well as clinical emergency medicine expertise. The chapters are richly supplemented with tables, photographs, and step-by-step illustrations.
This book is a comprehensive medical text addressing emergency sedation and analgesia in the emergency department.
This book extensively reviews the increased understanding and development of pain and sedation management in the emergency department. Articles address measuring pain; changing physician and nurse attitudes about pain; the drug-seeking patient; aberrant drug-related behaviors; managing chronic pain in the acute care setting; painful dilemmas; pain in the pediatric population; prehospital pain management; basic pharmacological advances; placebo use; and future directions.
"This thesis describes the advances of procedural pain management in Emergency Medicine in the Netherlands. Emergency Physicians have played an instrumental role in the introduction of procedural sedation and analgesia (PSA) in the emergency department. In the first part of this thesis, the safety, efficacy, and costs of PSA performed by Emergency Physicians was assessed. This thesis demonstrates the capability of Emergency Physicians to perform safe and effective PSA in adult and pediatric patients. The presence of skilled Emergency Physicians has improved the quality, availability, and costs of advanced pain treatment in patients who need to undergo painful procedures, for example the reduction of a dislocated joint or fracture, in the emergency department. In the second part, the implementation of PSA was evaluated by assessing the skills of the providers, guideline adherence and availability of PSA in emergency departments staffed with or without Emergency Physicians. This research revealed that the availability of PSA, and adherence to PSA guidelines, was not up-to-par in the departments which had no Emergency Physicians on staff. In the last part of this thesis, new strategies for procedural pain management in the emergency department were explored. Peripheral nerve blocks performed by Emergency Physicians were compared to PSA on efficacy, safety, and length-of-stay in the emergency department. Nerve blocks appear to be a promising technique with the important advantage of a reduced length-of-stay in the emergency department. Finally, a novel audiovisual distraction tool was evaluated for use during wrist fracture reductions in adult emergency patients. A clear advantage on pain or anxiety reduction was not found. However, more research is needed to better assess its value in distinct emergency patient categories. In conclusion, Emergency Physicians have an important responsibility to ensure high-quality and safe analgesia in the emergency department. They also have the duty to keep pushing the frontier on pain management in Emergency Medicine with evidence-based research."--
This textbook provides an overview of pain management useful to specialists as well as non-specialists, surgeons, and nursing staff.
Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.