Episode 67 Pediatric Pain Management

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7 • 602 Ratings

🗓️ 7 July 2015

⏱️ 67 minutes

🔗️ Recording | iTunes | RSS

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Summary

Pain is the most common reason for seeking health care. It accounts for 80% of ED visits. The WHO has declared that “optimal pain treatment is a human right”. As has been shown in multiple ED-based Pediatric pain management studies, Pediatric pain is all too often under-estimated and under-treated. Why does this matter? Under-estimating and under-treating pediatric pain may have not only short term detrimental effects but life-long detrimental effects as well; not to mention, screaming miserable children disturbing other patients in your ED and complaints to the hospital from parents. Whether it’s venipuncture, laceration repair, belly pain or reduction of a fracture we need to have the skills and knowledge to optimize efficient and effective pain management in all the kids we see in the ED. What are the indications for intranasal fentanyl? intranasal ketamine? Why should codeine be contra-indicated in children? How do triage-initaited pain protocols improve pediatric pain management? Which are most effective skin analgesics for venipuncture? To help you make these important pediatric pain management decisions, in this podcast we have one of the most prominent North American researchers and experts in Emergency Pediatric pain management, Dr. Samina Ali and not only the chief of McMaster Children’s ED but also the head of the division of Pediatric EM at McMaster University, Dr. Anthony Crocco.

Transcript

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0:00.0	Welcome to the Emergency Medicine Cases Podcast.
0:05.8	I'm your host, Dr. Anton Hellman, bringing you Canada's brightest minds in emergency medicine from EMC Studios in Toronto.
0:13.0	I think there's clinical equipoise about which oral opioid works better.
0:18.2	I think one of my primary jobs in the emergency department is to educate families and parents.
0:23.2	He was found apnake in their home.
0:25.0	Paramedics were called and he was unsuccessfully resuscitated.
0:28.1	We're really on the cusp of a paradigm shift.
0:32.2	Pain is the most common reason for seeking health care.
0:36.2	It accounts for 80% of ED visits. In fact, the WHO has
0:40.7	declared that optimal pain treatment is a human right. As has been shown in multiple ED-based
0:47.2	studies, pediatric pain is all too often underestimated and undertreated. Why does this matter?
0:54.6	Underestimating and undertreating pediatric pain may not only have short-term detrimental effects,
1:00.6	but lifelong detrimental effects, not to mention screaming miserable children disturbing
1:05.2	other patients in your ED and complaints to the hospital from parents.
1:08.9	Whether it's ventipuncture, laceration repair, belly pain, or reduction of a fracture,
1:14.9	we need to have the skills and knowledge to optimize efficient and effective pain management
1:19.0	in all the kids we see in the ED.
1:22.1	So without further ado, it's my pleasure and honor to introduce one of the most prominent
1:26.8	North American researchers and experts in emergency pediatric pain management, Dr. Samina Ali, and not only the chief of McMaster Children's ED, but the head of the division of pediatric EM at McMaster University, Dr. Anthony Croco.
1:41.9	Welcome, Dr. Ali.
1:43.3	Thank you very much. And welcome, Dr. Croco. Thank you very much. It's good to be here. Welcome, Dr. Ali. Thank you very much.
1:44.7	And welcome Dr. Croco.
	...

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