title: Pain management in paediatric trauma patients with long bone fracture.
abstract: OBJECTIVE
  This study was done to review and describe the care of paediatric trauma patients with respect to pain assessment and medication administration.
  
  
  METHODS
  A retrospective review of paediatric trauma patients, age <16 with a long bone fracture and GCS=15, cared for by our paediatric trauma response team (January 1998-August 2002). A single trained abstractor reviewed all records. Data were descriptively analysed.
  
  
  RESULTS
  Fifty-six children were included. All but three received pain medication during resuscitation. The median time to first dose of pain medication after arrival was 20 min (95% CI: 14-29 min). The median pre- and post-treatment pain scores, on a 5-point scale, were 4 and 2, respectively. Vital signs were unaffected.
  
  
  CONCLUSIONS
  As a group, our paediatric trauma resuscitation team did a much better job managing pain, in this segment of the population, than the preponderance of existing literature would predict.
authors.affiliation: Department of Emergency Medicine, Baystate Medical Center, 759 Chestnut Street, Springfield, MA 01199, USA. timothy.mader@bhs.org
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Mader
authors.forename: Andrew
authors.initials: A
authors.lastname: Ames
authors.forename: Patricia
authors.initials: P
authors.lastname: Letourneau
mesh_terms: D000208:Acute Disease; D000700:Analgesics / Q000008:administration & dosage / Q000627:therapeutic use; D002648:Child; D005260:Female; D050723:Fractures, Bone / Q000150:complications* / Q000628:therapy; D006801:Humans; D008297:Male; D010146:Pain / Q000188:drug therapy* / Q000209:etiology; D010147:Pain Measurement / Q000379:methods; D012042:Registries; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D000700:Analgesics