Pain

‘Just little tricks’: an exploration of treating children in pain

The aim of this study was to explore UK paramedics’ experience of treating paediatric patients in pain..

Barriers and facilitators to out-of-hospital pain management for children

After completing this module, the paramedic will be able to:.

Paramedic adult pain assessment: pilot study

There were 30 (85.7%) male and 5 (14.3%) female participants. Thirty-two (91.4%) of the 35 participants were ambulance paramedics and three (8.6%) were CCPs. Thirteen (37.1%) of the participants had...

Managing common end-of-life cancer presentations according to the evidence

For people with cancer who are terminally ill, an unexpected hospital attendance can be distressing and tiresome. Such visits made close to the end of life can be considered an indicator for poor...

Methoxyflurane (Penthrox®)—a case series of use in the prehospital setting

These case reports are from prehospital settings and involve patients experiencing traumatic injuries who were attended by rapid response doctors. The cases are from the UK and Ireland..

A review of ketorolac as a prehospital analgesic

Ketorolac is an NSAID, which has its action through the inhibition of prostaglandin synthesis. As an NSAID, ketorolac inhibits the action of the cyclooxygenase enzymes (COX-1 and COX-2), which...

Is IV paracetamol as effective an analgesic as IV morphine for patients in non-cardiac pain? A literature review

The literature search, along with a Cochrane Database search was conducted on 3 April 2015. This question in its key terms was inputted into PubMed, the British Medical Journal (BMJ), University of...

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...

Palliative emergencies in the pre-hospital setting

The evidence base for the treatment of palliative patients by paramedics is still limited. However, recent publications by Brady (2012a; 2012b; 2012c), Gakhal et al (2011), Pettifer and Bronnert...

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...

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