PT  - JOURNAL ARTICLE
AU  - Mullen, S
AU  - Fitzsimmons, A
TI  - PO-0278 Management Of Pain In Acute Presentations To A Tertiary Paediatric Emergency Department (ped)
AID  - 10.1136/archdischild-2014-307384.932
DP  - 2014 Oct 01
TA  - Archives of Disease in Childhood
PG  - A336--A336
VI  - 99
IP  - Suppl 2
4099  - http://adc.bmj.com/content/99/Suppl_2/A336.1.short
4100  - http://adc.bmj.com/content/99/Suppl_2/A336.1.full
SO  - Arch Dis Child2014 Oct 01; 99
AB  - Background and aims To review pain assessment and management in our PED. Methods We reviewed the filmsy for patients who were coded as soft tissue injury, fracture or burn over a 6 day period in June 2013 and compared this to standards set by College of Emergency Medicine (CEM) in the UK. Results Number of patients = 67 98% did not have a pain score recorded from triage. No recorded pain score from any medical personnel. 49% received analgesia with 82% receiving paracetamol alone and 15% receiving oramorph. Of those receiving analgesia, 70% did so within 20 min of arrival and 85% within first hour. There was no documented re-assessment of pain scores although 6% of patients did receive further analgesia. Conclusion The results hi-lighted a need for re-education of nursing and medical staff on the benefits of pain scores. Coupled with this re-education there will be a review of the current PED filmsy with a greater emphasis on pain scales, pain scores and prompts to re-score. There are good points to be taken from the data. 70% of patients received analgesia within 20 min of presentation compared to 43% from the CEM annual audit in 2012. 6% of patients also received further analgesia to manage their pain. This may support the theory that although pain assessment is occurring it is not being documented.