Volume : 11, Issue : 09, September – 2024
Title:
PREHOSPITAL PAIN MANAGEMENT STRATEGIES AND THEIR EFFECTIVENESS: A LITERATURE REVIEW
Authors :
Qasem Maqboul Alsulami, Khayr Mohammad Alamri, Waseem Salem Alshreef, Hani Hamed Alamry, Saud Saeed Jaber Alamri, Mohammed Jamaan Murdi Alzahrani, Majdi Mohammed Alharbi, Musaaeid Ahmad Alshomrani, Saad Ahmed Alghamdi, Hassan Hussin Nafea
Abstract :
Abstract:
Effective pain management in prehospital settings is critical for enhancing patient outcomes and alleviating distress. This literature review investigates current strategies employed by emergency medical services (EMS) for managing pain and assesses their effectiveness. A systematic search of electronic databases identified 14 relevant studies published between 2010 and 2023. The findings reveal a diverse range of pharmacological and non-pharmacological approaches; however, significant gaps persist in the timely administration of analgesics and the adequacy of pain relief provided. Notably, disparities in pain management practices were observed across different age and racial groups, highlighting the urgent need for standardized protocols and improved training for EMS personnel. Continuous medical education emerged as a vital component in enhancing the confidence and competency of providers in pain management. Furthermore, the review points to the necessity for comprehensive guidelines that can be adapted to various prehospital scenarios. Future research should focus on developing targeted interventions that promote equitable and effective pain management, ultimately contributing to improved patient care in emergency settings.
Keywords: Prehospital care, Pain management, Emergency medical services, Disparities, Pharmacological strategies
Cite This Article:
Please cite this article in press Qasem Maqboul Alsulami et al., Prehospital Pain Management Strategies And Their Effectiveness: A Literature Review, Indo Am. J. P. Sci, 2024; 11 (09).
Number of Downloads : 10
References:
1. Albrecht, E., Taffe, P., Yersin, B., Schoettker, P., Decosterd, I., & Hugli, O. (2013). Undertreatment of acute pain (oligoanalgesia) and medical practice variation in prehospital analgesia of adult trauma patients: a 10 yr retrospective study. British journal of anaesthesia, 110(1), 96-106.doi:10.1093/bja/aes355.
2. Borland ML, Jacobs I, Rogers IR. Options in prehospital analgesia. EmergencyMedicine. 2002;14(1):77-84.
3. Castrèn, M., Lindström, V., Hagman Branzell, J., & Niemi-Murola, L. (2015). Prehospital personnel’s attitudes to pain management. Scandinavian Journal of Pain, 8 (1), 17–22. https://doi.org/10.1016/j.sjpain.2015.02.003
4. Dijkstra, B. M., Berben, S. A. A., van Dongen, R. T. M., & Schoonhoven, L. (2013). Review on pharmacological pain management in trauma patients in (pre-hospital) emergency medicine in the Netherlands. European Journal of Pain, 18(3), 3–19. https://doi.org/10.1002/j.1532-2149.2013.00337.x
5. French, S. C., Salama, N. P., Baqai, S., Raslavicus, S., Ramaker, J., & Chan, S. B. (2006). Effects of an educational intervention on prehospital pain management. Prehospital Emergency Care, 10(1), 71-76. http://dx.doi.org/10.1080/10903120500366086
6. French, S. C., Salama, N. P., Baqai, S., Raslavicus, S., Ramaker, J., & Chan, S. B. (2006). Effects of an educational intervention on prehospital pain management. Prehospital Emergency Care, 10 (1), 71-76. https://doi.org/10.1080/10903120500366086
7. Galinski, M., Ruscev, M., Gonzalez, G., Kavas, J., Ameur, L., Biens, D., Lapostolle, F., & Adnet, F. (2010). Prevalence and management of acute pain in prehospital emergency medicine. Prehospital Emergency Care, 14(3), 334-339. https://doi.org/10.3109/10903121003760218
8. Goldberg, S. A., Rojanasarntikul, D., & Jagoda, A. (2015). The prehospital management of traumatic brain injury. In J. Grafman & A. M. Salazar (Eds.), Handbook of clinical neurology (Vol. 127, Part I). Elsevier B.V.
9. Haverkamp, F. J. C., Giesbrecht, G. G., & Tanc, E. C. T. H. (2017). The prehospital management of hypothermia — An up-to-date overview. Injury, 48(11), 2437-2447. https://doi.org/10.1016/j.injury.2017.11.001
10. Hewes, H. A., Dai, M., Mann, N. C., Baca, T., & Taillac, P. (2017). Prehospital pain management: Disparity by age and race. Prehospital Emergency Care , 21 (4), 1-9. https://doi.org/10.1080/10903127.2017.1367444
11. Iqbal, M., Spaight, P. A., & Siriwardena, A. N. (2012). Patients’ and emergency clinicians’ perceptions of improving pre-hospital pain management: A qualitative study. Emergency Medicine Journal, 30(e18). https://doi.org/10.1136/emermed-2012-201111
12. Kanowitz, A., Dunn, T. M., Kanowitz, E. M., Dunn, W. W., & VanBuskirk, K. (2006). Safety andEffectiveness of Fentanyl Administration for Prehospital Pain Management. Prehospital Emergency Care, 10(1), 1-7. http://dx.doi.org/10.1080/10903120500373264
13. Kanowitz, A., Dunn, T. M., Kanowitz, E. M., Dunn, W. W., & VanBuskirk, K. (2006). Safety and effectiveness of fentanyl administration for prehospital pain management. Prehospital Emergency Care, 10(1), 1-7. https://doi.org/10.1080/10903120500373264
14. Knapp, J., Pietsch, U., Kreuzer, O., Hossfeld, B., Bernhard, M., & Lier, H. (2018). Prehospital blood product transfusion in mountain rescue operations. Air Medical Journal, 000(2018), 1-8. https://doi.org/10.1016/j.amj.2018.08.003
15. Lindbeck, G., Shah, M. I., Braithwaite, S., Powell, J. R., Panchal, A. R., Browne, L. R., Lang, E. S., Burton, B., Coughenour, J., Crowe, R. P., Degn, H., Hedges, M., Gasper, J. J., Guild, K., Mattera, C., Nasca, S., Taillac, P., & Warth, M. (2023). Evidence-based guidelines for prehospital pain management: Recommendations. Prehospital Emergency Care, 27(2), 144–153. https://doi.org/10.1080/10903127.2021.2018073
16. Maegele, M. (2015). Prehospital care for multiple trauma patients in Germany. Chinese Journal of Traumatology, 18(03), 125-134. https://doi.org/10.1016/j.cjtee.2015.07.005
17. McLean, S. A., Maio, R. F., & Domeier, R. M. (2002). T HE E PIDEMIOLOGY OF P AIN IN THE P REHOSPITAL S ETTING. Prehospital emergency care, 6(4), 402-405.
18. McManus, J. G., & Sallee, D. R. (2005). Pain management in the prehospital environment. Emergency Medicine Clinics of North America, 23(2), 415–431. https://doi.org/10.1016/j.emc.2004.12.009
19. Moore EE,Mattox KL, FelicianoDV. Traumamanual.New York: McGraw-Hill; 2003.
20. Pierik, J. G. J., IJzerman, M. J., Gaakeer, M. I., Berben, S. A., van Eenennaam, F. L., van Vugt, A. B., & Doggen, C. J. M. (2015). Pain management in the emergency chain: The use and effectiveness of pain management in patients with acute musculoskeletal pain. Pain Medicine , 16(5), 970-984. https://doi.org/10.1111/pme.12601
21. Samuel, N., Steiner, I. P., & Shavit, I. (2015). Prehospital pain management of injured children: A systematic review of current evidence. American Journal of Emergency Medicine, 33(4), 451–454. https://doi.org/10.1016/j.ajem.2014.12.012
22. Sayre, M. R. (2002). Damage control: Past, present, and future of prehospital stroke management. Emergency Medicine Clinics of North America, 20(4), 877–886. https://doi.org/10.1016/S0733-8627(02)00033-0
23. Sayre, M. R. (2002). Damage control: Past, present, and future of prehospital stroke management. Emergency Medicine Clinics of North America, 20(4), 877–886. https://doi.org/10.1016/S0733-8627(02)00033-0
24. Sobieraj, D. M., Martinez, B. K., Miao, B., Cicero, M. X., Kamin, R. A., Hernandez, A. V., Coleman, C. I., & Baker, W. L. (2020). Comparative effectiveness of analgesics to reduce acute pain in the prehospital setting. Prehospital Emergency Care, 24(2), 163-174. https://doi.org/10.1080/10903127.2019.1657213
25. Tanabe, P., & Buschmann, M. (2000). Emergency nurses’ knowledge of pain management principles. Journal of Emergency Nursing, 26(4), 299-305.
26. Yousefifard, M., Askarian-Amiri, S., Madani Neishaboori, A., Sadeghi, M., Saberian, P., & Baratloo, A. (2019). Pre-hospital pain management: A systematic review of proposed guidelines. Archives of Academic Emergency Medicine, 7(1), e55. https://doi.org/10.22037/aaem.v7i1.424
27. Yousefifard, M., Askarian-Amiri, S., Neishaboori, A. M., Sadeghi, M., Saberian, P., & Baratloo, A. (2019). Pre-hospital pain management; a systematic review of proposed guidelines. Archives of academic emergency medicine, 7(1).
28. Yousefifard, M., Askarian-Amiri, S., Rafiei Alavi, S. N., Sadeghi, M., Saberian, P., Baratloo, A., & Talebian, M. T. (2020). The efficacy of ketamine administration in prehospital pain management of trauma patients: A systematic review and meta-analysis. Archives of Academic Emergency Medicine, 8(1), e1. https://doi.org/10.22037/aaem.v8i1.604