Pain; Roadside to Resus

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8 • 678 Ratings

🗓️ 19 June 2025

⏱️ 66 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

It’s something we all encounter in emergency and prehospital care, probably more than anything else, yet it’s a topic we’ve not given a full episode to… until now!

Up to 70% of prehospital patients and 60–90% of ED attendees report pain, with half of all ED presentations having pain as the primary complaint. That’s millions of patients across Europe every year and we’re not always optimising our approach!

In this episode, we’re diving deep into acute pain management; from understanding the complex biopsychosocial definition of pain, right through to tailored pharmacological and non-pharmacological strategies, plus everything in between.

We’ll be looking at how we define and assess pain and the importance of validating patient experience. Then we’ll work through management options: from paracetamol to ketamine, NSAIDs to regional anaesthesia, and talk through barriers like bias, opiophobia, and the persistent inequalities in analgesic delivery.

We'll also shine a light on special groups; from paediatrics to chronic pain patients and those with opioid use concerns, finishing with key takeaways on safe discharge planning.

This one’s about being better at recognising, respecting, and relieving pain. Because pain is an emergency, and we’ve got the tools to do something about it.

Once again we’d love to hear any thoughts or feedback either on the website or via X @TheResusRoom!

Simon, Rob & James

Transcript

Click on a timestamp to play from that location

0:00.0	Welcome to the recess room podcast.
0:03.5	Five, four, three, two, one, fire.
0:12.4	So hi, and welcome back to the recess room podcast.
0:15.5	I'm Simon Lang.
0:17.0	I'm Rob Fenwick.
0:18.1	And I'm James 8.
0:19.3	And we're going to have to start saying our names in a different way because it sounds identical every single time that we do that. We need to come up with a bit of spice into it. But anyway, welcome back to Payne and Roadside to Rees us. The way you said that, Simon, it sounds like those two things are pretty intrinsically linked, but that's not really what we is it the episode is covering pain not that this is going to be painful we hope no definitely not
0:45.0	painful chaps but it is going to be long because i've had a little peek at a couple of the show notes
0:49.4	we might have scribble down to help keep us on track and my goodness we might still be here in about
0:53.9	four and a half years time so my goodness we might still be here in about four and a half
0:54.6	years time so my goodness then it will be painful but it'll be more about pressure area cares than
0:59.9	anything else yeah absolutely we do need to cover chronic pain management so maybe that will be
1:04.6	useful in itself anyway before we get into it a huge thanks to zol medical corporation for
1:10.4	collaborating with us on the podcast
1:12.1	and making this all free, open access and available to you in their pursuit of excellent patient care.
1:19.8	And once you've had to listen to the podcast, make sure again you go over to their free
1:23.0	CPD portal on our website and get a certificate for listening to it.
1:27.1	So I think without further ado,
1:28.9	let's crack in to the episode. So strangely, we haven't actually talked about pain as a topic
1:37.7	before, which is odd because it is a massive deal. Because when you think about the patients that we see in urgent and emergency care, pain is really, really common.
1:50.1	About 70% of pre-hospital patients have pain.
1:53.1	And we know that somewhere between 60 to 90% of patients in the ED have pain as well,
	...

Transcript will be available on the free plan in 14 days. Upgrade to see the full transcript now.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Simon Laing, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Simon Laing and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.