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Variations in Prehospital Analgesic Use Based on Pain Etiology.
Nikolina Marić1, Radojka Jokšić-Mazinjanin1,2, Aleksandar Đuričin1,2
1Institute for Emergency Medical Services Novi Sad, 21000 Novi Sad, Serbia.
Biomedicines
|July 29, 2025
Summary
Patients with chest pain of cardiac origin received more analgesics than those with bone fractures. This study highlights disparities in pain management for traumatic injuries.
Area of Science:
- Emergency Medicine
- Pain Management
- Clinical Research
Background:
- Pain is a prevalent symptom in over 90% of traumatic injuries.
- Many patients are discharged from emergency departments with moderate to severe pain.
- Effective pain management is crucial for patient outcomes.
Purpose of the Study:
- To compare analgesic administration frequency between cardiac chest pain and suspected bone fracture patients.
- To identify significant differences in pain management between these two groups.
- To inform clinical practice regarding pain relief in emergency settings.
Main Methods:
- Retrospective observational study design.
- Two patient groups: Group 1 (cardiac chest pain) and Group 2 (suspected bone fracture).
- Analysis of analgesic administration rates.
Main Results:
- 1189 patients included; 503 in Group 1, 686 in Group 2.
- Analgesic administration was significantly more frequent in Group 1 (cardiac chest pain) than Group 2 (bone fractures).
- Acute myocardial infarction patients had the highest analgesic use; trunk fractures received more analgesics than cranial fractures.
Conclusions:
- Analgesic treatment is administered more frequently to patients with chest pain of presumed cardiac origin compared to those with suspected bone fractures.
- Findings suggest potential undertreatment of pain in patients with bone fractures.
- Further research is needed to optimize pain management protocols for all injury types.
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