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    Paediatric analgesia in an Emergency Department.

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    Authors
    Hawkes, C
    Kelleher, G
    Hourihane, J
    Affiliation
    Cork University Hospital, Wilton, Cork. cphawkes@gmail.com
    Issue Date
    2012-02-03T15:08:53Z
    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
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    Citation
    Ir Med J. 2008 Apr;101(4):106-9.
    Journal
    Irish medical journal
    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
    ISSN
    0332-3102 (Print)
    0332-3102 (Linking)
    Collections
    Cork University Hospital

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