Administration of analgesia for acute abdominal pain sufferers in the accident and emergency setting.

作者: Jamshed Shabbir , Paul F. Ridgway , Katy Lynch , Ching Er Law , Dennis Evoy

DOI: 10.1097/00063110-200412000-00002

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摘要: Background Recent trials suggest that the early administration of analgesia in patients with acute abdominal pain facilitates examination and does not delay diagnosis. We investigated current practice regarding for these patients. Methods All admitted via accident emergency department were included. The main outcome measures evaluated waiting time its relationship to subjective visual analogue scores clinical diagnoses. Results Data from 107 consecutive investigated; seven excluded. Forty-two per cent male. mean age was 40.1 years (6-85). overall 1.4 h (2 min 14 h). Sixty-seven received within one hour, although 22% waited 2-14 after presentation. Those mild significantly longer (mean 247 min) than those severe 82 min; P=0.01). moderate had intermediate times 111 min), they statistically different group (P=0.43). Female wait 129 male 69 P=0.09 analysis variance). Of 64% who general practitioner referrals, only 11% (all group, P=0.02) community. Neither diagnosis nor influenced timing analgesia. Seventy-three casualty 0.5 h; range 0.02-3.2), whereas ward without receiving their relief 5 1.2-14). Conclusion This study shows need standardized protocols usage presenting pain.

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