Emergency department pain management in special populations.

IF 2.3 Q3 EMERGENCY MEDICINE
Katherine Vlasica, Amanda Hall, Mohammad Anzal Rehman, George Notas, Christina Shenvi, Sergey Motov
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引用次数: 0

Abstract

Pain is a leading cause of emergency department (ED) visits globally, yet certain patient populations experience persistent disparities in their pain management due to physiological complexities, comorbidities, and gaps in evidence-based guidelines. This clinical review focuses on individualized, evidence-based approaches to ED pain management in four vulnerable groups: pregnant and breastfeeding patients, patients with sickle cell disease, geriatric populations, and patients with cancer pain and requiring palliative care. The practical recommendations presented in this review for optimal ED pain management in these special populations call for timely, effective, and multimodal analgesia; prioritization of nonpharmacologic and pain syndrome-targeted techniques; awareness of drug-disease and drug-drug interactions; interdisciplinary coordination; and education to mitigate ED clinicians' biases. This review emphasizes the importance of tailoring pain strategies to population-specific needs to improve outcomes, reduce harm, and advance equity in emergency care delivery.

特殊人群的急诊科疼痛管理。
疼痛是全球急诊科(ED)就诊的主要原因,但由于生理复杂性、合共病和循证指南的差距,某些患者群体在疼痛管理方面存在持续差异。本临床综述的重点是个体化的、基于证据的ED疼痛管理方法,适用于四个弱势群体:孕妇和哺乳期患者、镰状细胞病患者、老年人群、癌症疼痛患者和需要姑息治疗的患者。在这篇综述中提出的实用建议,为这些特殊人群的最佳ED疼痛管理要求及时,有效和多模式的镇痛;非药物和疼痛综合征靶向技术的优先级;对药物-疾病和药物-药物相互作用的认识;跨学科的协调;以及通过教育来减轻急诊科医生的偏见。这篇综述强调了根据特定人群的需要调整疼痛策略的重要性,以改善结果,减少伤害,并促进急诊护理提供的公平性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.70
自引率
0.00%
发文量
30
审稿时长
22 weeks
期刊介绍: The Turkish Journal of Emergency Medicine (Turk J Emerg Med) is an International, peer-reviewed, open-access journal that publishes clinical and experimental trials, case reports, invited reviews, case images, letters to the Editor, and interesting research conducted in all fields of Emergency Medicine. The Journal is the official scientific publication of the Emergency Medicine Association of Turkey (EMAT) and is printed four times a year, in January, April, July and October. The language of the journal is English. The Journal is based on independent and unbiased double-blinded peer-reviewed principles. Only unpublished papers that are not under review for publication elsewhere can be submitted. The authors are responsible for the scientific content of the material to be published. The Turkish Journal of Emergency Medicine reserves the right to request any research materials on which the paper is based. The Editorial Board of the Turkish Journal of Emergency Medicine and the Publisher adheres to the principles of the International Council of Medical Journal Editors, the World Association of Medical Editors, the Council of Science Editors, the Committee on Publication Ethics, the US National Library of Medicine, the US Office of Research Integrity, the European Association of Science Editors, and the International Society of Managing and Technical Editors.
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