{"title":"利多卡因解放:在急诊科窥镜检查中恢复以病人为中心的护理。","authors":"Haddijatou Hughes","doi":"10.1111/1742-6723.70139","DOIUrl":null,"url":null,"abstract":"<div>\n \n <p>This article examines the importance of analgesia during speculum exams in the emergency department (ED). As ED physicians, we can promote a comprehensive approach to pelvic examinations and advocate for peri-procedural analgesia for these patients. Emergency doctors should routinely inquire about women's needs and address them before the speculum exam. I discuss which populations may experience heightened pain and explore both non-pharmacological and pharmacological options for pain relief. There is a paucity of ED-based research addressing this issue, which urgently requires attention. Ensuring equitable access to analgesia is a fundamental clinical obligation.</p>\n </div>","PeriodicalId":11604,"journal":{"name":"Emergency Medicine Australasia","volume":"37 5","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Lignocaine Liberation: Reclaiming Patient Centred Care During Emergency Department Speculum Examinations\",\"authors\":\"Haddijatou Hughes\",\"doi\":\"10.1111/1742-6723.70139\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n <p>This article examines the importance of analgesia during speculum exams in the emergency department (ED). As ED physicians, we can promote a comprehensive approach to pelvic examinations and advocate for peri-procedural analgesia for these patients. Emergency doctors should routinely inquire about women's needs and address them before the speculum exam. I discuss which populations may experience heightened pain and explore both non-pharmacological and pharmacological options for pain relief. There is a paucity of ED-based research addressing this issue, which urgently requires attention. Ensuring equitable access to analgesia is a fundamental clinical obligation.</p>\\n </div>\",\"PeriodicalId\":11604,\"journal\":{\"name\":\"Emergency Medicine Australasia\",\"volume\":\"37 5\",\"pages\":\"\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-09-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Emergency Medicine Australasia\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/1742-6723.70139\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"EMERGENCY MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Emergency Medicine Australasia","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/1742-6723.70139","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
Lignocaine Liberation: Reclaiming Patient Centred Care During Emergency Department Speculum Examinations
This article examines the importance of analgesia during speculum exams in the emergency department (ED). As ED physicians, we can promote a comprehensive approach to pelvic examinations and advocate for peri-procedural analgesia for these patients. Emergency doctors should routinely inquire about women's needs and address them before the speculum exam. I discuss which populations may experience heightened pain and explore both non-pharmacological and pharmacological options for pain relief. There is a paucity of ED-based research addressing this issue, which urgently requires attention. Ensuring equitable access to analgesia is a fundamental clinical obligation.
期刊介绍:
Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine.
Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.