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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
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Pediatric pain management in the emergency department

Beverly H Bauman1, John G McManus

  • 1Department of Emergency Medicine, Oregon Health & Sciences University, CDW-EM, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA. baumanb@ohsu.edu

Emergency Medicine Clinics of North America
|April 15, 2005
PubMed

Insights

Pediatric emergency medicine has advanced pain management, but more research is needed to optimize safe and effective strategies for children in emergency departments (EDs). This review covers history, assessment, treatments, and cultural improvements for pediatric pain relief in the ED.

Area of Science:

  • Pediatric Emergency Medicine
  • Pain Management Research

Background:

  • Significant advancements in pediatric emergency medicine over 25 years have improved pain management.
  • Gaps remain in understanding children's pain experiences and optimizing care in busy emergency departments (EDs).

Purpose of the Study:

  • To review the history and current state of pediatric pain management and sedation in the ED.
  • To discuss special considerations for pediatric pain assessment and treatment.
  • To propose strategies for creating a pain-free pediatric ED culture.

Main Methods:

  • Literature review of pediatric emergency medicine research.
  • Discussion of pharmacologic and nonpharmacologic pain and anxiety alleviation methods.
  • Analysis of special considerations in pediatric pain assessment and management.

Main Results:

  • The review synthesizes 25 years of research on pediatric pain management in emergency settings.
  • Identifies areas for improvement in understanding and addressing pediatric pain.
  • Highlights the need for enhanced strategies and cultural shifts in pediatric EDs.

Conclusions:

  • Continued research and improved practices are essential for optimal pediatric pain management in emergency departments.
  • A comprehensive approach integrating assessment, pharmacologic/nonpharmacologic treatments, and cultural change is needed.
  • The goal of a pain-free pediatric ED remains a critical objective for patient care.

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