Emergency Department Analgesia An Evidence-Based Guide

Analgesic advice for emergency care and acute care providers, with a selection of effective therapies, dosages and what to do when things don't work.

Nowhere in medicine is there a greater imperative to act than in the recognition and management of a patient's pain. This practical and evidence-based resource for emergency medicine and acute care providers will guide physicians in the selection of an effective therapy, define appropriate dosages to use and, equally important, when a treatment doesn't work, explain why, and what to do next. Starting with chapters on the assessment of pain, the safe and effective provision of analgesia in special populations, and featuring a reference table of drug names and interactions; the bulk of the coverage moves on to describe the provision of analgesia in the wide range of conditions likely to be encountered in the emergency department. The fundamental strengths of this approach are the comprehensive coverage, focus on practicality, basis in sound evidence, and authorship by specialists with extensive experience based on years of clinical practice.

Foreword Peter Rosen; Preface; Abbreviations; Part I. General Considerations: Introduction and general approach to pain James Ducharme; Assessment of pain Catherine A. Marco and Alan P. Marco; Prehospital analgesia Chris McEachin and Robert A. Swor; Epidemiologic overview of ED pain treatment Polly Bijur; Geriatric analgesia Ula Hwang and Andy Jagoda; Chronic pain David Cline and Stephen H. Thomas; NSAIDs and opioids Benjamin A. White and Stephen H. Thomas; Nonstandard medication delivery James R. Miner; Reflections on ED analgesia Peter Rosen and Stephen H. Thomas; Part II.Chief Complaints and Diagnoses: Abdominal aortic aneurysm Beth Wicklund and Robert Knopp; Aortic dissection Kalani Olmstead and Deborah B. Diercks; Arthritis Todd M. Listwa and Stephen H. Thomas; Biliary tract pain Stephen H. Thomas and Jonathan S. Ilgen; Bites and stings - marine Stephen H. Thomas and Ciaran J. Browne; Bites and stings – terrestrial Frank LoVecchio and Stephen H. Thomas; Breast pain Janet Simmons Young; Burns Jeremy Ackerman and Adam J. Singer; Bursitis and periarticular inflammation Nathanael Wood and John H. Burton; Cancer and tumor pain Michael Walta and Stephen H. Thomas; Cardiac chest pain Kalani Olmstead and Deborah B. Diercks; Chest wall trauma Michel Galinski; Chronic low back pain David Cline; Cluster headache Sohan Parekh and Andy Jagoda; Corneal abrasion Lisa Calder; Cystitis, urethritis, and prostatitis Benjamin A. White and Stephen H. Thomas; Dysmenorrhea Benjamin A. White and Stephen H. Thomas; Endometriosis Joshua H. Tamayo-Sarver and Rita K. Cydulka; Esophageal spasm Kalani Olmstead and Deborah B. Diercks; Fibromyalgia Michael Walta and Stephen H. Thomas; Gastritis and peptic ulcer disease Megan L. Fix and Stephen H. Thomas; Gastroesophageal reflux disease Kalani Olmstead and Deborah B. Diercks; Hemorrhoids and perianal pain Benjamin A. White and Stephen H. Thomas; Migraine and undifferentiated headache Sohan Parekh and Andy Jagoda; Mucositis and stomatitis Kelly Young; Neck and back pain - mechanical strain Michael Turturro; Neck and back pain - radicular syndromes Adam Levine and Stephen H. Thomas; Neck and back pain - spinal spondylitic syndromes Michael Walta and Stephen H. Thomas; Neuropathy - complex Regional Pain Syndrome David Cline; Neuropathy - diabetic David Cline; Neuropathy - HIV-related David Cline and Stephen H. Thomas; Neuropathy - overview Sharon E. Mace; Neuropathy - phantom limb pain David Cline; Ocular inflammation Stephen H. Thomas; Odontalgia Michael T. Schultz and Michael S. Runyon; Orthopedic extremity trauma - sprains, strains, and fractures Catherine A. Marco and Jason B. Lester; Osteoporotic vertebral compression fracture Susan R. Wilcox and Stephen H. Thomas; Otitis media and external Kelly Young; Pancreatitis Stephen H. Thomas and Jonathan S. Ilgen; Pharyngitis Kelly Young; Post-dural puncture headache Sohan Parekh and Andy Jagoda; Post-herpetic neuralgia Jeremy Ackerman and Adam J. Singer; Renal colic Andrew Worster; Sialolithiasis Samuel Kim and John H. Burton; Sickle cell crisis Hans Bradshaw and Dale P. Woodridge; Temporomandibular disorders Nathanael Wood and John H. Burton; Tension-type headache Sohan Parekh and Andy Jagoda; Trigeminal neuralgia Sohan Parekh and Andy Jagoda; Undifferentiated abdominal pain Frank LoVecchio and Stephen H. Thomas; Appendices: NSAIDs Benjamin A. White and Stephen H. Thomas; Opioids Benjamin A. White and Stephen H. Thomas; Other analgesics Benjamin A. White and Stephen H. Thomas.

This book provides practical and evidence-based analgesia advice for emergency medicine and acute care providers. It will guide physicians in the selection of an effective therapy, what dosages to use and, equally important, what doesn't work, why, and what to do next.

Stephen H. Thomas is the Director of Academic Affairs at Massachusetts General Hospital, Department of Emergency Services and Associate Professor of Surgery at Harvard Medical School, Boston, MA, USA.