The Treatment of Acute Pain in the Emergency Department: A White Paper Position Statement Prepared for the American Academy of Emergency Medicine

Publication date: Available online 6 March 2018
Source:The Journal of Emergency Medicine
Author(s): Sergey Motov, Reuben Strayer, Bryan Hayes, Mark Reiter, Steven Rosenbaum, Melanie Richman, Zachary Repanshek, Scott Taylor, Benjamin Friedman, Gary Vilke, Daniel Lasoff
BackgroundPain is one of the most common reasons patients present to the emergency department (ED). Emergency physicians should be aware of the numerous opioid and nonopioid alternatives available for the treatment of pain.ObjectivesTo provide expert consensus guidelines for the safe and effective treatment of acute pain in the ED.MethodsMultiple independent literature searches using PubMed were performed regarding treatment of acute pain. A multidisciplinary panel of experts in Pharmacology and Emergency Medicine reviewed and discussed the literature to develop consensus guidelines.RecommendationsThe guidelines provide resources for the safe use of opioids in the ED as well as pharmacological and nonpharmacological alternatives to opioid analgesia. Care should be tailored to the patient based on their specific acute painful condition and underlying risk factors and comorbidities.ConclusionsAnalgesia in the ED should be provided in the most safe and judicious manner, with the goals of relieving acute pain while decreasing the risk of complications and opioid dependence.



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