The Resus Room Pain; Roadside to Resus
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Jun 19, 2025 Delve into the intricacies of pain management in emergency settings. Learn how up to 70% of prehospital patients report pain, making its management critical. Explore the biological, psychological, and social dimensions of pain, emphasizing personalized treatment approaches. The discussion covers effective strategies, from paracetamol to nerve blocks, and addresses barriers like bias and inequalities in care. Special attention is given to unique patient groups, ensuring everyone gets the relief they deserve.
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Complexity of Pain Experience
- Pain is a complex, subjective experience influenced by biological, psychological, and social factors.
- Pain perception goes beyond noxious stimulation and must be respected as unique to each individual.
Core Principles of Pain Management
- Prioritize addressing the underlying cause of pain and provide treatment quickly to reduce pain with minimal side effects.
- Reassess pain frequently and reassure patients that their pain is understood and will be taken seriously.
Flexible Use of WHO Analgesia Ladder
- The WHO analgesia ladder is a useful guide but not a strict linear approach for emergency pain.
- Analgesia should be individualized; severe pain may warrant higher steps rapidly, then step down.