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Prehospital pain management in children with traumatic injuries

Anna Rutkowska1, Grażyna Skotnicka-Klonowicz

  • 1From the Department of Paediatric Emergency Medicine, Medical University of Lodz, Faculty of Health Sciences, Lodz, Poland.

Pediatric Emergency Care
|February 5, 2015
PubMed

Insights

Prehospital pain management for injured children is inadequate, with significant numbers not receiving analgesia despite clear indications. This highlights a gap in care for pediatric trauma patients, particularly those with burns or bone injuries.

Area of Science:

  • Pediatric Emergency Medicine
  • Trauma Care
  • Pain Management

Background:

  • Injuries are a leading cause for pediatric emergency department visits.
  • Effective pain management in prehospital settings is crucial for pediatric trauma patients.

Purpose of the Study:

  • To evaluate the implementation of prehospital pain management recommendations for injured children.
  • To identify disparities in analgesia administration across different healthcare centers.

Main Methods:

  • Retrospective analysis of 7146 pediatric injury admissions over 12 months.
  • Focus on 1493 children who received prehospital emergency care.
  • Review of medical records for analgesia administration and indications.

Main Results:

  • Prehospital care was provided to 21% of injured children.
  • Indications for analgesia were present in 32.7% of cases.
  • Analgesia was administered in only 32% of indicated cases, with 46% receiving no pain medication.

Conclusions:

  • Despite medical staff training, prehospital analgesia for pediatric burns and osteoarticular injuries is insufficient.
  • There is a notable gap in providing adequate pain relief to injured children in prehospital settings.
  • Further improvements in pain management protocols and their execution are necessary for pediatric trauma care.
Abstract

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