Paediatric analgesia in an Emergency Department.

Hdl Handle:
http://hdl.handle.net/10147/208973
Title:
Paediatric analgesia in an Emergency Department.
Authors:
Hawkes, C; Kelleher, G; Hourihane, J
Affiliation:
Cork University Hospital, Wilton, Cork. cphawkes@gmail.com
Citation:
Ir Med J. 2008 Apr;101(4):106-9.
Journal:
Irish medical journal
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/208973
PubMed ID:
18557511
Abstract:
Timely management of pain in paediatric patients in the Emergency Department (ED) is a well-accepted performance indicator. We describe an audit of the provision of analgesia for children in an Irish ED and the introduction of a nurse-initiated analgesia protocol in an effort to improve performance. 95 children aged 1-16 presenting consecutively to the ED were included and time from triage to analgesia, and the rate of analgesia provision, were recorded. The results were circulated and a nurse initiated analgesia protocol was introduced. An audit including 145 patients followed this. 55.6% of patients with major fractures received analgesia after a median time of 54 minutes, which improved to 61.1% (p = 0.735) after 7 minutes (p = 0.004). Pain score documentation was very poor throughout, improving only slightly from 0% to 19.3%. No child had a documented pain score, which slightly improved to 19.3%. We recommend other Irish EDs to audit their provision of analgesia for children.
Language:
eng
MeSH:
Adolescent; Analgesia/*methods; Child; Child Welfare; Child, Preschool; Emergency Service, Hospital/*statistics & numerical data; Female; Health Status Indicators; Humans; Infant; Ireland; Male; Medical Audit; Pain Measurement; *Pediatrics; Time Factors; Triage
ISSN:
0332-3102 (Print); 0332-3102 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorHawkes, Cen_GB
dc.contributor.authorKelleher, Gen_GB
dc.contributor.authorHourihane, Jen_GB
dc.date.accessioned2012-02-03T15:08:53Z-
dc.date.available2012-02-03T15:08:53Z-
dc.date.issued2012-02-03T15:08:53Z-
dc.identifier.citationIr Med J. 2008 Apr;101(4):106-9.en_GB
dc.identifier.issn0332-3102 (Print)en_GB
dc.identifier.issn0332-3102 (Linking)en_GB
dc.identifier.pmid18557511en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208973-
dc.description.abstractTimely management of pain in paediatric patients in the Emergency Department (ED) is a well-accepted performance indicator. We describe an audit of the provision of analgesia for children in an Irish ED and the introduction of a nurse-initiated analgesia protocol in an effort to improve performance. 95 children aged 1-16 presenting consecutively to the ED were included and time from triage to analgesia, and the rate of analgesia provision, were recorded. The results were circulated and a nurse initiated analgesia protocol was introduced. An audit including 145 patients followed this. 55.6% of patients with major fractures received analgesia after a median time of 54 minutes, which improved to 61.1% (p = 0.735) after 7 minutes (p = 0.004). Pain score documentation was very poor throughout, improving only slightly from 0% to 19.3%. No child had a documented pain score, which slightly improved to 19.3%. We recommend other Irish EDs to audit their provision of analgesia for children.en_GB
dc.language.isoengen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAnalgesia/*methodsen_GB
dc.subject.meshChilden_GB
dc.subject.meshChild Welfareen_GB
dc.subject.meshChild, Preschoolen_GB
dc.subject.meshEmergency Service, Hospital/*statistics & numerical dataen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHealth Status Indicatorsen_GB
dc.subject.meshHumansen_GB
dc.subject.meshInfanten_GB
dc.subject.meshIrelanden_GB
dc.subject.meshMaleen_GB
dc.subject.meshMedical Auditen_GB
dc.subject.meshPain Measurementen_GB
dc.subject.mesh*Pediatricsen_GB
dc.subject.meshTime Factorsen_GB
dc.subject.meshTriageen_GB
dc.titlePaediatric analgesia in an Emergency Department.en_GB
dc.contributor.departmentCork University Hospital, Wilton, Cork. cphawkes@gmail.comen_GB
dc.identifier.journalIrish medical journalen_GB
dc.description.provinceMunster-
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