Evaluating Changes in Vital Signs of Multiple Trauma Patients with extremity or Pelvic Fracture after Resuscitation Based on Receiving or Not Receiving Intravenous Analgesics
Introduction: Trauma is among the injuries associated with a high prevalence of pain and little treatment for it. Pain can change vital signs and especially cause tachycardia due to sympathetic activity. This can distort our assessment of the patient’s shock; therefore, the present study evaluates t...
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| Format: | Article |
| Language: | English |
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Shahid Beheshti University of Medical Sciences
2019-11-01
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| Series: | طب اورژانس ایران |
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| Online Access: | http://journals.sbmu.ac.ir/en-iranjem/article/view/27976 |
| _version_ | 1818127239279017984 |
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| author | Shahram Paydar Ali Taheri Akordi Zahra Shayan Leila Shayan Fatemeh Mousavi Hosein Ali Khalili |
| author_facet | Shahram Paydar Ali Taheri Akordi Zahra Shayan Leila Shayan Fatemeh Mousavi Hosein Ali Khalili |
| author_sort | Shahram Paydar |
| collection | DOAJ |
| description | Introduction: Trauma is among the injuries associated with a high prevalence of pain and little treatment for it. Pain can change vital signs and especially cause tachycardia due to sympathetic activity. This can distort our assessment of the patient’s shock; therefore, the present study evaluates the effect of prescribing analgesics on vital signs and hydration in trauma patients with extremity or pelvic fractures. Methods: 325 trauma patients over the age of 16 with extremity or pelvic fractures and GCS score of 14 or 15 were evaluated regarding changes in vital signs and receiving crystalloid in 2 groups of with and without analgesic administration. Results: 325 patients were divided into 2 groups of with (263 patients) and without (62 patients) analgesic administration. 80.9% of the patients received analgesics. In the group receiving analgesics, on average heart rate decreased from 103 to 95 (p < 0.001). However, it did not affect blood pressure and the respiratory status of the 2 groups receiving analgesics or not showed a significant difference. The group receiving analgesics received more crystalloids. Conclusion: Pain management in trauma leads to improvement in tachycardia and probably our better understanding of presence or absence of shock in the patient. Therefore, it is recommended to move the evaluation and treatment of acute trauma pain from the secondary survey in trauma to the D phase of the primary survey. |
| first_indexed | 2024-12-11T07:14:12Z |
| format | Article |
| id | doaj.art-cae7b4c4e53f480cae5163aff89065ba |
| institution | Directory Open Access Journal |
| issn | 2383-3645 |
| language | English |
| last_indexed | 2024-12-11T07:14:12Z |
| publishDate | 2019-11-01 |
| publisher | Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | طب اورژانس ایران |
| spelling | doaj.art-cae7b4c4e53f480cae5163aff89065ba2022-12-22T01:16:16ZengShahid Beheshti University of Medical Sciencesطب اورژانس ایران2383-36452019-11-0161e5e512866Evaluating Changes in Vital Signs of Multiple Trauma Patients with extremity or Pelvic Fracture after Resuscitation Based on Receiving or Not Receiving Intravenous AnalgesicsShahram Paydar0Ali Taheri Akordi1Zahra Shayan2Leila Shayan3Fatemeh Mousavi4Hosein Ali Khalili5Trauma Research Center, Shahid Rajaei Hospital, Shiraz University of Medical Sciences, Shiras, Iran.Trauma Research Center, Shahid Rajaei Hospital, Shiraz University of Medical Sciences, Shiras, Iran.Trauma Research Center, Shahid Rajaei Hospital, Shiraz University of Medical Sciences, Shiras, Iran.Trauma Research Center, Shahid Rajaei Hospital, Shiraz University of Medical Sciences, Shiras, Iran.Trauma Research Center, Shahid Rajaei Hospital, Shiraz University of Medical Sciences, Shiras, Iran.Trauma Research Center, Shahid Rajaei Hospital, Shiraz University of Medical Sciences, Shiras, Iran.Introduction: Trauma is among the injuries associated with a high prevalence of pain and little treatment for it. Pain can change vital signs and especially cause tachycardia due to sympathetic activity. This can distort our assessment of the patient’s shock; therefore, the present study evaluates the effect of prescribing analgesics on vital signs and hydration in trauma patients with extremity or pelvic fractures. Methods: 325 trauma patients over the age of 16 with extremity or pelvic fractures and GCS score of 14 or 15 were evaluated regarding changes in vital signs and receiving crystalloid in 2 groups of with and without analgesic administration. Results: 325 patients were divided into 2 groups of with (263 patients) and without (62 patients) analgesic administration. 80.9% of the patients received analgesics. In the group receiving analgesics, on average heart rate decreased from 103 to 95 (p < 0.001). However, it did not affect blood pressure and the respiratory status of the 2 groups receiving analgesics or not showed a significant difference. The group receiving analgesics received more crystalloids. Conclusion: Pain management in trauma leads to improvement in tachycardia and probably our better understanding of presence or absence of shock in the patient. Therefore, it is recommended to move the evaluation and treatment of acute trauma pain from the secondary survey in trauma to the D phase of the primary survey.http://journals.sbmu.ac.ir/en-iranjem/article/view/27976multiple traumapain managementanalgesicvital signs |
| spellingShingle | Shahram Paydar Ali Taheri Akordi Zahra Shayan Leila Shayan Fatemeh Mousavi Hosein Ali Khalili Evaluating Changes in Vital Signs of Multiple Trauma Patients with extremity or Pelvic Fracture after Resuscitation Based on Receiving or Not Receiving Intravenous Analgesics طب اورژانس ایران multiple trauma pain management analgesic vital signs |
| title | Evaluating Changes in Vital Signs of Multiple Trauma Patients with extremity or Pelvic Fracture after Resuscitation Based on Receiving or Not Receiving Intravenous Analgesics |
| title_full | Evaluating Changes in Vital Signs of Multiple Trauma Patients with extremity or Pelvic Fracture after Resuscitation Based on Receiving or Not Receiving Intravenous Analgesics |
| title_fullStr | Evaluating Changes in Vital Signs of Multiple Trauma Patients with extremity or Pelvic Fracture after Resuscitation Based on Receiving or Not Receiving Intravenous Analgesics |
| title_full_unstemmed | Evaluating Changes in Vital Signs of Multiple Trauma Patients with extremity or Pelvic Fracture after Resuscitation Based on Receiving or Not Receiving Intravenous Analgesics |
| title_short | Evaluating Changes in Vital Signs of Multiple Trauma Patients with extremity or Pelvic Fracture after Resuscitation Based on Receiving or Not Receiving Intravenous Analgesics |
| title_sort | evaluating changes in vital signs of multiple trauma patients with extremity or pelvic fracture after resuscitation based on receiving or not receiving intravenous analgesics |
| topic | multiple trauma pain management analgesic vital signs |
| url | http://journals.sbmu.ac.ir/en-iranjem/article/view/27976 |
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