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The epidemiology of pain in children treated by paramedics

Bill Lord1, Paul A Jennings2,3, Karen Smith3,4,5

  • 1School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast, Maroochydore, Sunshine Coast, Queensland, Australia.

Emergency Medicine Australasia : EMA
|May 6, 2016
PubMed

Insights

Paramedic pain management for children shows age-based disparities, with younger children receiving less analgesia. Improved assessment and documentation strategies are needed for pediatric pain in emergency medical services.

Area of Science:

  • Emergency Medicine
  • Pediatric Pain Management
  • Paramedic Practice

Background:

  • Effective pain assessment and management in pediatric patients is crucial.
  • Paramedics play a vital role in initial pain relief for children in pre-hospital settings.
  • Understanding current practices in pediatric pain management by paramedics is essential for improvement.

Purpose of the Study:

  • To describe the current assessment and management of pain in pediatric patients by paramedics.
  • To identify factors influencing analgesic administration in children treated by ambulance services.
  • To highlight potential disparities in pain management based on patient characteristics.

Main Methods:

  • Retrospective cohort study of pediatric patients (<15 years) in Victoria, Australia (2008-2011).
  • Analysis of paramedic treatment records focusing on analgesic administration (morphine, fentanyl, methoxyflurane).
  • Statistical analysis including descriptive statistics, chi-squared tests, and logistic regression.

Main Results:

  • Of 38,167 cases with pain, 39.5% received analgesia.
  • Only 45% of patients with severe pain (numeric rating scale 8-10) received analgesia.
  • Age, sex, pain type, initial pain score, and case year were significant predictors of analgesic administration.

Conclusions:

  • Significant disparities exist in analgesic administration for pediatric pain based on patient age.
  • Low documentation rates of pain scores in very young children were observed.
  • Findings should guide strategies to enhance pediatric pain assessment and management by paramedics.
Abstract

Keywords:
analgesiachildpainpain managementpreschool

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