Use of a triage pain protocol in the ED.
OBJECTIVE
This study was designed to evaluate the ability of a triage pain protocol to improve frequency and time to delivery of analgesia for musculoskeletal injuries in the emergency department (ED).


METHODS
Frequency and time to analgesic administration were measured before and after use of a triage pain protocol. The protocol allowed analgesic medications to be given at the time of triage.


RESULTS
Time to medication administration was 76 minutes (95% confidence interval [CI], 68-84 minutes) before and 40 minutes (95% CI, 32-47 minutes) after the protocol. Five hundred fifty-nine (70%) of 800 patients received analgesics using the protocol compared with 212 of 471 (45%) patients prior.


CONCLUSIONS
Use of a triage pain protocol increased the number of patients with musculoskeletal injury who received pain medication in the ED. Use of the protocol also resulted in a decrease in the time to analgesic medication administration.
Fosnocht
David E
DE
Division of Emergency Medicine, University of Utah School of Medicine, Salt Lake City, UT 84132, USA. davefosnocht@comcast.net
Swanson
Eric R
ER
D000328:Adult; D000700:Analgesics / Q000008:administration & dosage*; D004334:Drug Administration Schedule; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D008297:Male; D009141:Musculoskeletal System / Q000293:injuries; D010146:Pain / Q000188:drug therapy* / Q000209:etiology; D010147:Pain Measurement; D016896:Treatment Outcome; D014218:Triage / Q000379:methods*
D000700:Analgesics