{"id":6448,"date":"2021-04-06T09:11:05","date_gmt":"2021-04-06T08:11:05","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=6448"},"modified":"2021-04-06T09:11:34","modified_gmt":"2021-04-06T08:11:34","slug":"is-pain-properly-managed-in-children-presentingwith-fractures-a-retrospective-audit-of-children-presenting-to-the-emergency-department-2020","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2021\/04\/06\/is-pain-properly-managed-in-children-presentingwith-fractures-a-retrospective-audit-of-children-presenting-to-the-emergency-department-2020\/","title":{"rendered":"Is pain properly managed in children presenting with fractures? A retrospective audit of children presenting to the emergency department (2020)"},"content":{"rendered":"

Type of publication:<\/strong>
\nConference abstract<\/p>\n

Author(s):<\/strong>
\n*Rafie A<\/p>\n

Citation:<\/strong>
\nBritish Journal of Surgery; Jun 2020; vol. 107 ; p. 68<\/p>\n

Abstract:<\/strong>
\nAim: Pain is a common problem in the surgical field, especially when treating children \u2013 but how well is it managed, and documented? In this audit we aim to answer a few key questions. Is analgesia administered prehospital? Are pain scores recorded, and re-evaluated? And is analgesia offered and\/or administered in the Emergency Department(ED)? Method: A retrospective audit was carried out between two hospitals on 100 patients aged between 5-15 presenting to the ED. A search was carried out using SNOMEDand ICD10 codes, to find patients presenting with fractures \u2013 and the ED CAS cards reviewed.
\nResult(s): The data showed poor compliance between both hospitals \u2013 pain scores were seldom recorded, or reevaluated; and in 58% of cases analgesia was not offered and no reason was documented. 28% of patients were given pre-hospital analgesia and only 2% of patients had an analgesia review.
\nConclusion(s): Adequate pain management is vital, especially in children \u2013 as they often don't self-report pain. The study found that the worst compliance was in documentation of pain scores, and their re-evaluation. However, more concerningly analgesia was only administered in 19% of cases \u2013 and in many cases there was no documentation as to why it wasn't offered.<\/p>\n

Link to full-text<\/a> [no password required]<\/p>\n","protected":false},"excerpt":{"rendered":"

Type of publication: Conference abstract Author(s): *Rafie A Citation: British Journal of Surgery; Jun 2020; vol. 107 ; p. 68 Abstract: Aim: Pain is a common problem in the surgical field, especially when treating children \u2013 but how well is…<\/span><\/p>\n

Read more Is pain properly managed in children presenting with fractures? A retrospective audit of children presenting to the emergency department (2020)<\/span> ›<\/span><\/a><\/div>\n

<\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[917,214,225,254,241,311,994],"class_list":["post-6448","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-917","tag-anaesthesia","tag-emergency-care","tag-fractures","tag-paediatrics","tag-pain","tag-trauma-and-orthopaedics"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/6448","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=6448"}],"version-history":[{"count":2,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/6448\/revisions"}],"predecessor-version":[{"id":6450,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/6448\/revisions\/6450"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=6448"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=6448"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=6448"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}