[Emergency ambulance management of acute pain in children: a national survey].
OBJECTIVE
To assess the knowledge and skills of physicians staffing mobile intensive care units (emergency ambulances) in the management of severe acute pain in children.


METHODS
Questionnaire-based telephone interviews with emergency physicians of all urban emergency ambulance services (n=360). This questionnaire covered knowledge of procedures for assessment of pain, definition of severe acute pain and its, treatment, availability of morphine and similar drugs, local guidelines and the physicians' opinion of the national guidelines.


RESULTS
Physicians from all but one ambulance service responded. Forty-nine percent were unaware of the French Society of Anesthesiology and Intensive Care guidelines, and 63% had no local guidelines. Eight percent defined severe acute pain correctly and 10% defined the therapeutic objective correctly. Forty-seven percent used morphine (which was available for 93%), and 7% and 13% respectively followed guidelines about doses and waiting periods between administrations.


CONCLUSIONS
This survey showed inadequate knowledge about the management (assessment and treatment) of severe acute pain in children in prehospital emergency settings. Training in this area is essential.
Galinski
M
M
Samu 93 - EA 3409, Hôpital Avicenne, Université Paris 13, 125 rue de Stalingrad, 93009 Bobigny Cedex 93, France. michel.galinski@avc.ap-hop-paris.fr
Pommerie
F
F
Ruscev
M
M
Hubert
G
G
Srij
M
M
Lapostolle
F
F
Adnet
F
F
D000208:Acute Disease; D000552:Ambulances; D000701:Analgesics, Opioid / Q000627:therapeutic use; D002648:Child; D002983:Clinical Competence; D004632:Emergency Medical Services; D005602:France; D019983:Guideline Adherence; D006801:Humans; D007407:Interviews as Topic; D010146:Pain / Q000175:diagnosis* / Q000188:drug therapy*; D011795:Surveys and Questionnaires
D000701:Analgesics, Opioid