Articles: pain-management-methods.
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Emerg Med Australas · Dec 2019
Influence of cognitive impairment on pain assessment and management in the emergency department: A retrospective cross-sectional study.
To quantify the impact of cognitive impairment on pain assessment and management practices in the ED. ⋯ Pain is inadequately and inappropriately assessed for elderly patients with a cognitive impairment in the ED, resulting in delays in initiation of pain management.
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Pediatric emergency care · Dec 2019
Comparative StudyThe Complex Association of Race/Ethnicity With Pain Treatment Quality in an Urban Medical Center With 2 Pediatric Emergency Departments.
This study aimed to explore racial differences in analgesia quality. ⋯ The relationship between race/ethnicity and analgesia is complex. Although minority children were less likely to receive opioids, black children had better treatment outcomes. Future studies should explore clinical response to analgesia in addition to process measures to better understand if differential treatment may be justified to achieve equitable care outcomes.
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Updated Joint Trauma System Clinical Practice Guidelines (CPG) indicate regional anesthesia and pain management (RAAPM) are important for combat casualty care. However, it is unclear whether military anesthesiology residents are receiving adequate RAAPM training to meet the CPGs. The goal of this study was to conduct a preliminary evaluation of resident-completed combat-relevant regional anesthesia procedures. It was hypothesized that most residents would perform an adequate number of each procedure to presume proficiency. ⋯ These results suggest a possible gap between the needs of the Military Health System during conflict and current residency training experiences. Reasons for this gap, as well as solutions, are explored.
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J Clin Monit Comput · Dec 2019
Letter Case ReportsBilateral erector spinae plane block with single injection.