The treatment of pain in the emergency department.
Our approach to the management of fear and pain in the pediatric emergency department is presented. Tricks to attempt the gaining of rapport with frightened children in pain are noted, with emphasis on a developmental approach. The use of analgesic medications, local anesthetics, ketamine, and nitrous oxide as appropriate to emergency situations is outlined. Lastly, the guidelines of the American Academy of Pediatrics for outpatient sedation are reviewed.
Selbst
S M
SM
University of Pennsylvania School of Medicine, Philadelphia.
Henretig
F M
FM
D000700:Analgesics / Q000627:therapeutic use; D000701:Analgesics, Opioid / Q000627:therapeutic use; D000779:Anesthetics, Local / Q000627:therapeutic use; D001291:Attitude of Health Personnel; D002648:Child; D004636:Emergency Service, Hospital; D006801:Humans; D059408:Pain Management; D010287:Parent-Child Relations; D010808:Physical Examination / Q000379:methods; D012064:Relaxation Therapy; D012149:Restraint, Physical
D000700:Analgesics; D000701:Analgesics, Opioid; D000779:Anesthetics, Local