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Related Experiment Videos

Pain medication use before ED arrival.

David E Fosnocht1, Eric R Swanson, Gary W Donaldson

  • 1Division of Emergency Medicine, University of Utah School of Medicine, Salt Lake City, Utah 84132, USA. davefosnocht@comcast.net

The American Journal of Emergency Medicine
|October 3, 2003
PubMed
Summary
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Many patients arriving at the emergency department (ED) use pain medication beforehand. Factors like pain severity, duration, and complaint influence medication choice, but not race or gender.

Area of Science:

  • Emergency Medicine
  • Pharmacology
  • Pain Management

Background:

  • Patients frequently self-administer pain medication prior to emergency department (ED) arrival.
  • Understanding pre-ED medication use is crucial for effective pain management and treatment planning.

Purpose of the Study:

  • To determine the frequency and types of pain medications used by patients before ED arrival.
  • To analyze associations between pre-ED medication use and factors including pain intensity, duration, chief complaint, gender, age, and race.

Main Methods:

  • Prospective, observational study involving a convenience sample of 1233 patients presenting with pain.
  • Data collected on pain characteristics, demographics, and medications taken prior to ED arrival.
  • Statistical analysis (chi-squared tests) to identify significant associations.

Related Experiment Videos

Main Results:

  • 44% of patients took pain medication before ED arrival.
  • Ibuprofen (27%), oral opioids (25%), and acetaminophen (25%) were the most common medications.
  • Pain severity, age, pain duration, and chief complaint were significantly associated with prior medication use (P < .05).
  • Race and gender showed no significant association with pre-ED medication use (P > .05).

Conclusions:

  • A significant proportion of patients utilize pain relievers before seeking emergency care.
  • Patient-reported factors like pain severity, duration, and complaint influence self-medication choices.
  • Demographic factors such as race and gender do not appear to influence pre-ED pain medication decisions.