| Analgesia in the accident and emergency department: do SHOs have the knowledge to provide optimal analgesia? | |
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MedLine Citation:
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PMID: 9639173 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To assess senior house officers' knowledge in prescribing emergency analgesia for acute presentations in the accident and emergency (A&E) department. DESIGN: Prospective telephone survey of a defined population of SHOs, using a standardised structured questionnaire, in the months of October and November, 1995; 231 SHOs from 215 A&E departments were interviewed. The questionnaire required responses to hypothetical scenarios. A six member expert panel from the local region was consulted for suggestions for appropriate responses. MAIN OUTCOME MEASURES: Comparisons between SHO responses and those of an expert panel. RESULTS: For choice of analgesic agent, 83% of SHO responses were appropriate, for route of administration 57%, and for the dose of drug 34%. The scenario with the best overall response was a sprained ankle. The paediatric case with partial burns faired worse. Responses to a myocardial infarction scenario were the most consistent. CONCLUSIONS: A&E SHOs lack knowledge and confidence when asked to prescribe emergency analgesia for acute conditions. Responses to certain scenarios were extremely varied, indicating a need for national analgesia guidelines and protocols. Recognised training in pain management should be more readily available. |
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Authors:
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S Sandhu; P Driscoll; J Nancarrow; D McHugh |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Journal of accident & emergency medicine Volume: 15 ISSN: 1351-0622 ISO Abbreviation: J Accid Emerg Med Publication Date: 1998 May |
Date Detail:
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Created Date: 1998-08-31 Completed Date: 1998-08-31 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 9433751 Medline TA: J Accid Emerg Med Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 147-50 Citation Subset: IM |
Affiliation:
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Department of Emergency Medicine, Hope Hospital, Salford, Manchester, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Analgesia
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standards,
statistics & numerical data* Clinical Competence / standards* Data Collection Emergency Service, Hospital / standards* Great Britain Health Knowledge, Attitudes, Practice* Humans Medical Staff, Hospital / standards* Prospective Studies |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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