Managing acute pain in children presenting to the emergency department without opioids
- PMID: 35310402
- PMCID: PMC8918119
- DOI: 10.1002/emp2.12664
Managing acute pain in children presenting to the emergency department without opioids
Abstract
Pediatric pain is challenging to assess and manage. Frequently underestimated in children, untreated pain may have consequences including increased fear, anxiety, and psychological issues. With the current opioid crisis, emergency physicians must be knowledgeable in both pharmacologic and non-pharmacologic approaches to address pain and anxiety in children that lead to enhanced patient cooperation and family satisfaction. This document focuses pain management and distress mitigation strategies for the brief diagnostic and therapeutic procedures commonly performed.
Keywords: analgesia; emergency department; non‐pharmacologic; pain management; pediatrics; policy.
© 2022 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians.
Conflict of interest statement
The authors declare no conflict of interest.
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References
-
- Danseco ER, Miller TR, Spicer RS. Incidence and costs of 1987–1994 childhood injuries: demographic breakdowns. Pediatrics. 2000;105(2):E27. - PubMed
-
- Spady DW, Saunders DL, Schopflocher DP, et al. Patterns of injury in children: a population‐based approach. Pediatrics. 2004;113(3 Pt 1):522‐529. - PubMed
-
- Todd KH, Ducharme J, Choiniere M, et al. Pain in the emergency department: results of the pain and emergency medicine initiative (PEMI) multicenter study. J Pain. 2007;8(6):460‐466. - PubMed
-
- Taddio A, Katz J, Ilersich AL, et al. Effect of neonatal circumcision on pain response during subsequent routine vaccination. Lancet. 1997;349(9052):599‐603. - PubMed
-
- Kennedy RM, Luhmann J, Zempsky WT. Clinical implications of unmanaged needle‐insertion pain and distress in children. Pediatrics. 2008;122(3):S130‐3. - PubMed
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