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Use of a triage pain protocol in the ED
David E Fosnocht1, Eric R Swanson
1Division of Emergency Medicine, University of Utah School of Medicine, Salt Lake City, UT 84132, USA. davefosnocht@comcast.net
Purposes:
This study was designed to evaluate the ability of a triage pain protocol to improve frequency and time to delivery of analgesia for musculoskeletal injuries in the emergency department (ED).
Basic Procedures:
Frequency and time to analgesic administration were measured before and after use of a triage pain protocol. The protocol allowed analgesic medications to be given at the time of triage.
Main Findings:
Time to medication administration was 76 minutes (95% confidence interval [CI], 68-84 minutes) before and 40 minutes (95% CI, 32-47 minutes) after the protocol. Five hundred fifty-nine (70%) of 800 patients received analgesics using the protocol compared with 212 of 471 (45%) patients prior.
Principal Conclusions:
Use of a triage pain protocol increased the number of patients with musculoskeletal injury who received pain medication in the ED. Use of the protocol also resulted in a decrease in the time to analgesic medication administration.
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