Pain Treatment in Polish Emergency Medical Teams—Is the Pain Management Entitlement Being Used?—A Retrospective Study
Introduction: Pain has been identified as the most common reason for emergency medical service (EMS) calls. Despite many years of pain research, it is still true that oligoanalgesia is an ongoing phenomenon. This demonstrates the need for the implementation of new solutions and for further analyses...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-10-01
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| Series: | Safety |
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| Online Access: | https://www.mdpi.com/2313-576X/9/4/74 |
| _version_ | 1797379445987737600 |
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| author | Bartosz Pryba Wioletta Mędrzycka-Dąbrowska Anna Małecka-Dubiela |
| author_facet | Bartosz Pryba Wioletta Mędrzycka-Dąbrowska Anna Małecka-Dubiela |
| author_sort | Bartosz Pryba |
| collection | DOAJ |
| description | Introduction: Pain has been identified as the most common reason for emergency medical service (EMS) calls. Despite many years of pain research, it is still true that oligoanalgesia is an ongoing phenomenon. This demonstrates the need for the implementation of new solutions and for further analyses on the causes of inadequate pain treatment. The study was undertaken to analyze analgesic treatment implemented in specialist “S” and basic “P” Emergency Medical Teams (EMTs). Methods: This retrospective study was based on the analysis of medical records using the emergency medical service card. A total of 1333 medical files were analyzed, of which 539 cases were qualified for the study according to the inclusion and exclusion criteria. Results: The analysis has shown that the majority of interventions were undertaken by basic emergency medical teams and that acute pain was the most common reason for contacting the EMS. However, only 62.52% of patients received analgesia. It was shown that the frequency of administering paracetamol, metamizole, and ketoprofen was proportional to the increase in pain intensity. Similar correlations were identified in the cases of morphine, fentanyl, and drotaverine, which were most often administered to patients with the most severe pain. Conclusions: The nature and location of pain, as well as its intensity, affected the choice of analgesia. Opioids were administered more frequently with more extensive injuries and at greater pain intensity. Significant differences were found in the frequency at which acetylsalicylic acid was administered more often in “S” EMTs and drotaverine more often in “P” EMTs. The intravenous route was found to be the most common route of analgesia administration in EMTs. |
| first_indexed | 2024-03-08T20:23:21Z |
| format | Article |
| id | doaj.art-bc18a9950ece4a6ca7576c1331122be3 |
| institution | Directory Open Access Journal |
| issn | 2313-576X |
| language | English |
| last_indexed | 2024-03-08T20:23:21Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Safety |
| spelling | doaj.art-bc18a9950ece4a6ca7576c1331122be32023-12-22T14:39:45ZengMDPI AGSafety2313-576X2023-10-01947410.3390/safety9040074Pain Treatment in Polish Emergency Medical Teams—Is the Pain Management Entitlement Being Used?—A Retrospective StudyBartosz Pryba0Wioletta Mędrzycka-Dąbrowska1Anna Małecka-Dubiela2Clinical Emergency Department, University Clinical Center of Gdansk, 80-952 Gdansk, PolandDepartment of Anesthesiology Nursing and Intensive Care, Medical University of Gdansk, 80-211 Gdansk, PolandDepartment of Internal and Pediatric Nursing, Medical University of Gdansk, 80-211 Gdansk, PolandIntroduction: Pain has been identified as the most common reason for emergency medical service (EMS) calls. Despite many years of pain research, it is still true that oligoanalgesia is an ongoing phenomenon. This demonstrates the need for the implementation of new solutions and for further analyses on the causes of inadequate pain treatment. The study was undertaken to analyze analgesic treatment implemented in specialist “S” and basic “P” Emergency Medical Teams (EMTs). Methods: This retrospective study was based on the analysis of medical records using the emergency medical service card. A total of 1333 medical files were analyzed, of which 539 cases were qualified for the study according to the inclusion and exclusion criteria. Results: The analysis has shown that the majority of interventions were undertaken by basic emergency medical teams and that acute pain was the most common reason for contacting the EMS. However, only 62.52% of patients received analgesia. It was shown that the frequency of administering paracetamol, metamizole, and ketoprofen was proportional to the increase in pain intensity. Similar correlations were identified in the cases of morphine, fentanyl, and drotaverine, which were most often administered to patients with the most severe pain. Conclusions: The nature and location of pain, as well as its intensity, affected the choice of analgesia. Opioids were administered more frequently with more extensive injuries and at greater pain intensity. Significant differences were found in the frequency at which acetylsalicylic acid was administered more often in “S” EMTs and drotaverine more often in “P” EMTs. The intravenous route was found to be the most common route of analgesia administration in EMTs.https://www.mdpi.com/2313-576X/9/4/74analgesiapain treatmentemergency medical servicesoligoanalgesiaprehospital emergency careemergency medical team |
| spellingShingle | Bartosz Pryba Wioletta Mędrzycka-Dąbrowska Anna Małecka-Dubiela Pain Treatment in Polish Emergency Medical Teams—Is the Pain Management Entitlement Being Used?—A Retrospective Study Safety analgesia pain treatment emergency medical services oligoanalgesia prehospital emergency care emergency medical team |
| title | Pain Treatment in Polish Emergency Medical Teams—Is the Pain Management Entitlement Being Used?—A Retrospective Study |
| title_full | Pain Treatment in Polish Emergency Medical Teams—Is the Pain Management Entitlement Being Used?—A Retrospective Study |
| title_fullStr | Pain Treatment in Polish Emergency Medical Teams—Is the Pain Management Entitlement Being Used?—A Retrospective Study |
| title_full_unstemmed | Pain Treatment in Polish Emergency Medical Teams—Is the Pain Management Entitlement Being Used?—A Retrospective Study |
| title_short | Pain Treatment in Polish Emergency Medical Teams—Is the Pain Management Entitlement Being Used?—A Retrospective Study |
| title_sort | pain treatment in polish emergency medical teams is the pain management entitlement being used a retrospective study |
| topic | analgesia pain treatment emergency medical services oligoanalgesia prehospital emergency care emergency medical team |
| url | https://www.mdpi.com/2313-576X/9/4/74 |
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