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Author Spotlight: Quantifying Pain Experience – An Illustrative Approach Using the Pain Body Diagram
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Author Spotlight: Quantifying Pain Experience – An Illustrative Approach Using the Pain Body Diagram

Published on: July 7, 2023

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Management of Pain After Pediatric Trauma

Lindsay Marie Day1, Rong Huang2, Pamela Joy Okada1

  • 1From the Division of Pediatric Emergency Medicine, Department of Pediatrics, UT Southwestern Medical Center Dallas.

Pediatric Emergency Care
|February 1, 2019
PubMed

Insights

This study found that higher-acuity pediatric patients in the emergency department (ED) received faster pain management after traumatic injury. However, barriers to timely pain treatment in all pediatric patients remain unclear.

Area of Science:

  • Pediatric Emergency Medicine
  • Trauma Care
  • Pain Management

Background:

  • Effective pain management in pediatric emergency departments (EDs) is crucial for patients experiencing traumatic injuries.
  • Understanding pain treatment patterns based on triage acuity is essential for optimizing care.

Purpose of the Study:

  • To evaluate pain management strategies for pediatric trauma patients in the ED.
  • To assess the time to analgesic administration and pain resolution stratified by triage acuity.

Main Methods:

  • Retrospective descriptive study of 1000 pediatric patients with pain after injury at a level 1 trauma center.
  • Patients were grouped by triage acuity level for analysis.
  • Data collected included time to analgesic administration and pain resolution.

Main Results:

  • 51% of patients achieved pain resolution, with an additional 20% showing improvement.
  • Higher-acuity patients received pain medication faster (median 12 minutes for level 1).
  • Average time to IV line placement was 2 hours 35 minutes; only 1.9% received pre-arrival medication.

Conclusions:

  • Higher-acuity pediatric trauma patients experienced quicker initial pain relief.
  • Barriers to delayed or absent pain treatment in this population were not clearly identified due to the study's retrospective nature.
Abstract

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