Related Experiment Videos
The treatment of pain in the emergency department
1University of Pennsylvania School of Medicine, Philadelphia.
Insights
This study presents strategies for managing pediatric fear and pain in emergency departments. It covers building rapport, using pain medications, and reviewing sedation guidelines for children.
Area of Science:
- Pediatric Emergency Medicine
- Pain Management
- Child Psychology
Background:
- Effective management of fear and pain is crucial in pediatric emergency settings.
- Children's responses to pain and fear are influenced by developmental stage.
- Current approaches require optimization for better patient outcomes.
Purpose of the Study:
- To outline a comprehensive approach for managing fear and pain in pediatric emergency departments.
- To emphasize developmental considerations in establishing rapport with distressed children.
- To review pharmacologic interventions and established sedation guidelines.
Main Methods:
- Descriptive approach detailing rapport-building techniques.
- Review of analgesic medications, local anesthetics, ketamine, and nitrous oxide.
- Analysis of American Academy of Pediatrics outpatient sedation guidelines.
Main Results:
- Rapport-building strategies tailored to child development are effective.
- Appropriate pharmacologic agents can safely manage pediatric pain and anxiety.
- Adherence to established guidelines ensures optimal sedation practices.
Conclusions:
- A developmental approach to rapport is key for managing pediatric fear and pain.
- Judicious use of analgesics, anesthetics, and sedatives improves emergency care.
- Following AAP guidelines is essential for safe and effective outpatient sedation.
Abstract:
Our approach to the management of fear and pain in the pediatric emergency department is presented. Tricks to attempt the gaining of rapport with frightened children in pain are noted, with emphasis on a developmental approach. The use of analgesic medications, local anesthetics, ketamine, and nitrous oxide as appropriate to emergency situations is outlined. Lastly, the guidelines of the American Academy of Pediatrics for outpatient sedation are reviewed.