Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2016 Jul;8(2):89-98.
doi: 10.5249/jivr.v8i2.707. Epub 2016 Jul 7.

Pain management in trauma: A review study

Alireza Ahmadi  1 , Shahrzad Bazargan-Hejazi, Zahra Heidari Zadie, Pramote Euasobhon, Penkae Ketumarn, Ali Karbasfrushan, Javad Amini-Saman, Reza Mohammadi
Affiliations
Review

Pain management in trauma: A review study

Alireza Ahmadi et al. J Inj Violence Res. 2016 Jul.

Abstract

Background: Pain in trauma has a role similar to the double-edged sword. On the one hand, pain is a good indicator to determine the severity and type of injury. On the other hand, pain can induce sever complications and it may lead to further deterioration of the patient. Therefore, knowing how to manage pain in trauma patients is an important part of systemic approach in trauma. The aim of this manuscript is to provide information about pain management in trauma in the Emergency Room settings.

Methods: In this review we searched among electronic and manual documents covering a 15-yr period between 2000 and 2016. Our electronic search included Pub Med, Google scholar, Web of Science, and Cochrane databases. We looked for articles in English and in peer-reviewed journals using the following keywords: acute pain management, trauma, emergency room and injury.

Results: More than 3200 documents were identified. After screening based on the study inclusion criteria, 560 studies that had direct linkage to the study aim were considered for evaluation based World Health Organization (WHO) pain ladder chart.

Conclusions: To provide adequate pain management in trauma patients require: adequate assessment of age-specific pharmacologic pain management; identification of adequate analgesic to relieve moderate to severe pain; cognizance of serious adverse effects of pain medications and weighting medications against their benefits, and regularly reassessing patients and reevaluating their pain management regimen. Patient-centered trauma care will also require having knowledge of barriers to pain management and discussing them with the patient and his/her family to identify solutions.

PubMed Disclaimer

Figures

Table1
Table1. Trauma Pain Management based on WHO Pain Ladder.
See this image and copyright information in PMC

References

    1. Murray CJ, Lopez AD. Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study. Lancet. 1997 May 17;349(9063):1436–42. - PubMed
    1. Peden M, Scurfield R, Sleet D, Mohan D, Hyder A, Jarawan E, et al. World report on road traffic injury prevention. Geneva: World Health Organization, 2004.
    1. Thomas V, Heath M, Rose D, Flory P. Psychological characteristics and the effectiveness of patient-controlled analgesia. Br J Anaesth. 1995 Mar;74(3):271–6. - PubMed
    1. Carroll KC, Atkins PJ, Herold GR, Mlcek CA, Shively M, Clopton P, et al. Pain assessment and management in critically ill postoperative and trauma patients: a multisite study. Am J Crit Care. 1999 Mar;8(2):105–17. - PubMed
    1. Hofman K, Primack A, Keusch G, Hrynkow S. Addressing the growing burden of trauma and Injury in Low- and middle-income countries. Am J Public Health. 2005 Jan;95(1):13–7. - PMC - PubMed

MeSH terms

LinkOut - more resources