Analysis of shortcomings, obstacles and problems in the practice of pain-reliaf at the prehospital stage of care for patients with traumatic injuries

Abstract

Goal of study. Identification of shortcomings, obstacles and problems in the implementation of pain-relief in patients with concomitant injuries by questioning.Material and methods. A survey of 400 emergency physicians was conducted. The questionnaire consisted of 18 questions with multiple choice of answers. The average age of doctors who completed the survey was 53,5±3,4 years, men — 275 (67,5%), women — 130 (32,5%).Results. Questioning of doctors revealed insufficient knowledge of emergency medical doctors about modern aspects of prehospital pain-relief, about the use of pain rating scale in practice. 80% of the respondent’s preferred pain-relief with metamisol, 17% preferredopioids. 95% of doctors surveyed believe that the use of narcotic analgesics will take in difficult to further diagnose impaired consciousness.Conclusion. There are problems and shortcomings in implementation of pain-relief at the prehospital stage in patients with a combined injury, requiring improvement of the training program, including special lectures and practical exercises on the problem of pain-relief and aspects of care for patients with a combined injury.