TY  - CHAP
M1  - Book, Section
TI  - Pain Management, Sedation, and Anesthesia
A1  - Ary, Roy
A1  - Leigh LeGros, Tracy
A2  - Cooney, Derek R.
Y1  - 2016
N1  - 
T2  - Cooney's EMS Medicine
AB  - Pain  is  the  most  common  emergency  complaint.  The  World  Health  Organization  supports  optimal  pain  treatment  as  a  fundamental  human  right  (http://who.int/mediacetre/news/notes/2007/np31/en/).  Several  prehospital  studies  have  shown  inadequate  analgesia  for  these  patients.  Factors  associated  with  failures  in  the  management  of  prehospital  pain  include  underestimation  of  pain,  underdosing  of  analgesia  medications,  underfrequency  of  dosing,  and  inappropriate  withholding  of  analgesia.  The  importance  of  prehospital  analgesia  has  been  outlined  by  the  Emergency  Medical  Services  Outcomes  Project  in  (the  United  States  as  follows:  “the  relief  of  discomfort  might  be  the  most  important  task  EMS  providers  perform  for  the  majority  of  their  patients.”  This  sentiment  was  also  advocated  by  the  National  Association  of  EMS  Physicians  (NAEMSP),  who  issued  a  position  paper  stating  that  the  relief  of  pain  should  be  a  priority  for  every  EMS  system.  A  more  to  the  point  assessment  of  prehospital  undertreatment  of  pain  was  given  in  a  Basket  editorial:  “The  blame  for  ‘oligoanalgesias’  must  be  laid  at  the  door  of  physicians  in  authority  who  have,  through  ignorance,  underplayed  the  physiologic  and  psychological  benefits  of  analgesia  and  overplayed  the  potential  deleterious  side  effects  of  agents  that  are  commonly  available.”  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessemergencymedicine.mhmedical.com/content.aspx?aid=1126793901
ER  -