Prehospital Pain Assessment and Management An Important Factor in Improving Patient Outcomes Prepared for CCCFTC by MOFD The Purpose of This Presentation To enhance the quality of pain assessment and management for adults and children in the prehospital setting in Contra Costa County
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An Important Factor in Improving Patient Outcomes
Prepared for CCCFTC by MOFD
To enhance the quality of pain assessment and management for adults and children in the prehospital setting in Contra Costa County
Main et al Annals of Emergency Medicine, 1999
(36% of field personnel agreed with this FALSE statement)
(88% agreed with this TRUE statement)
(73% agreed with this TRUE statement)
(89% agreed with this FALSE statement)
Middleton, C. Nursing Times. 2007
The Contra Costa County EMS System performance goal for pain assessment is 90%
Although we understand the pathophysiology of pain better than ever, it remains one of the most under-appreciated and under-treated conditions encountered by EMS personnel.
Large study showed only 44% of patients presenting with long-bone fractures received analgesia
Izsak et al., Prehosp. Emerg. Care, April, 2008Hospital Studies
www.JEMS.com. Deschamp, 2006 Management of Pediatric Pain
“Despite the availability of analgesic agents to EMS providers, most children do not receive analgesia. Studies identified the inability to assess pain and lack of knowledge on pediatric pain management as potential barriers to adequate pain management.”
“The relief of pain and suffering of patients must be a priority for every EMS system”.
*Use of analgesic (Fentanyl) for pain management (n=158) after education on pain assessment doubled, compared to retrospective review of morphine administration(n=83) for the same 6 month time period, one year prior.
International Association for the Study of PainWhat is “Pain”?
Autonomic Nervous System Stimulation