ACUTE PAIN MANAGEMENT

If pain score > 5 go to IV pain protocol otherwise see Analgesic ladder

Following resuscitation, early and adequate pain management ranks as one of the highest priorities in patient management

IMPORTANT POINTS

 

The aim is to make the pain bearable within 20 min of arrival

ASSESSMENT OF PAIN

There are several commonly used scoring systems:

Pain scores > 5 generally signify significant pain BUT analgesic doses should be titrated according to the change in score after each dose

MAIN OPTIONS IN INITIAL PAIN MANAGEMENT

IV Opiates
Nitrous oxide
Local anaesthetic techniques

MAIN OPTIONS IN ONGOING PAIN MANAGEMENT

See Analgesic ladder