Paediatric pain management with Will Broughton

In this session we will examine some of the prevailing issues and difficulties of paediatric pain management. To do this I have Will Broughton, an associate professor of paramedic science at Buckinghamshire New University, Paramedic with specialist interest in Paediatric Emergency Medicine and Paramedic Education. He continues to practice clinically with London Ambulance Service (LAS) and South Central Ambulance Service (SCAS).

We will unpack some of the nuances, challenges, and evidenced based approaches that Will has found from being both a pre-hospital practitioner and studying his MSc in this domain of practice. In the conversation we discuss: 

• Definitions of pain and what it means to children.
• Physiological consequences of pain in paediatrics
• Difficulties of pain management in Paediatrics
• Pain relief routes available and advocated (NICE)
• Pain assessment - Wong and Baker, visual analogue scales. 
• The utility of the FLACC score
• Monitoring difficulties and challenges 
• Human factors with Pain - Parents, stressful environment
• Tx/Pain Mx strategies - NICE, preferences, nuances.
• Take homes messages.

Resources that are mentioned in the episode include: 

CRIES pain scale http://geriatricphysio.yolasite.com/resources/CRIES%20Scale%20for%20Neonatal%20Postoperative%20Pain%20Assessment.pdf

WHO pain ladder https://professionals.wrha.mb.ca/old/professionals/files/PDTip_AnalgesicLadder.pdf

Children in painhttps://rcem.ac.uk/wp-content/uploads/2021/11/Pain_in_Children_2017_18_National_Report_Oct_2018.pdf

Wong and Baker faces https://wongbakerfaces.org

I hope you enjoy this episode with a fantastic guest. Will Broughton can be reached on Twitter at @WilBroughton