pain management

Where is the paramedic profession going with pain management?

As defined in the Oxford Dictionary, pain is a ‘highly unpleasant physical sensation caused by illness or injury’ (Stevenson, 2010). This is further compounded by Jones and Machen (2003) who identify...

Pain: highlighting the law and ethics of pain relief in end-of-life patients

The developments that were envisaged by the Department of Health's (2000) healthcare reform plan have placed a wider scope of professional practice on many healthcare workers and have allowed for...

Pain: understanding the biopsychosocial model and the paramedic's role within the multi-disciplinary team

The biopsychosocial model is a term to describe the combination of three important factors that heavily influence the lives of patients suffering a disease or illness:.

Is it time to change? The use of intranasal fentanyl for severe pain in the pre-hospital setting

Cannulation is the main barrier to the administration of opioid analgesia, and this has been shown to be a problem in the young, the elderly, the shocked patient and the cognitively impaired. Studies...

A brief history of analgesia in paramedic practice

Important advances in the prevention and management of pain occurred in the mid-1800s, when drugs that produced anaesthesia were first used during surgery. These drugs included nitrous oxide, ether...

Is there scope for an observational pain scoring tool in paramedic practice?

Pain scoring and indeed pain management has widely been studied in the pre-hospital environment, with many different aspects explored. These include paramedic perspectives (Jones and Machen, 2003),...

Pain and suffering: how do we treat both?

Spotlight on Research is edited by Julia Williams, principal lecturer, paramedic science, University of Hertfordshire, Hatfield, Hertfordshire UK. To find out how you can contribute to future...

Recognising children with surgical problems in the pre-hospital setting

It is of paramount importance that surgical teams are involved early in cases where the situation can progress and rapidly deteriorate (e.g. intussusception or appendicitis) (UK Ambulance Service...

‘A pain in the back’: Psoas abscess and the importance of red and yellow flags

A 19 year old man attended an ED in Wales (UK) with an eleven day history of low back pain. Following a five mile walk he developed bilateral heaviness in his legs, one day later he experienced...