EMS and Pre-hospital

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Download the PowerPoint Presentation of this module, last updated: October 2017

Learning Module References

Supplemental Presentations

Management of Pediatric Pain in the Field: the Old, the New, and the Future – CLINCON by Dr. Phyllis Hendry July 15, 2016

Additional Resources

How to manage pediatric pain?

EMSC has created an ideal “tool box” for health care provides to manage pain. This tool box provides key resources and information for the emergency care provider to better understand, assess, and relieve children’s pain in the prehospital and emergency department settings.

10 Conversation Starters for Alternative Pain & Anxiety Management

Being able to start a conversation is a proven method of patient management and helps reduce anxiety and pain through distraction. According to some studies, pain can be reduced by up to 25% by distraction alone.1 There are certainly times when an initial dose of morphine or fentanyl can’t do that well.

Position paper National Association of EMS Physicians: Prehospital Pain Management by Hector M. Alonso-Serra et al.

The National Association of EMS Physicians (NAEMSP) believes that the relief of pain and suffering of patients must be a priority for every emergency medical services (EMS) system. Adequate analgesia is an important step in achieving this goal….

National Association of EMS Physicians Dialog: Prehospital Pain Management

The next topic for discussion in the NAEMSP Dialog will be Prehospital Pain Management. Confirmed invited participants include Michel Galinski, MD from the SAMU / SMUR ambulance service in Paris, France. He was the lead author of a study published in the July/Sept. 2010 issue of PEC entitled, “Prevalence and Management of Acute Pain in Prehospital Emergency Medicine.” Keith Wesley, MD is the State EMS Medical Director for Minnesota and was an author of the NAEMSP Position Paper on Pain Management. Bryan Bledsoe, DO is a Clinical Professor of Emergency Medicine at the University of Nevada School of Medicine and the author of numerous EMS textbooks and journal articles…….

National Association of State EMS Officials: National Module of EMS Clinical Guidelines

These guidelines will be maintained by NASEMSO to facilitate the creation of state and local EMS system clinical guidelines, protocols or operating procedures. System medical directors and other leaders are invited to harvest content as will be useful. These guidelines are either evidence-based or consensus-based and have been formatted for use by field EMS professionals.

Emergency Medical Services for Children: Pediatric Pain Management Toolbox

Pain is an extremely complex and individualized phenomenon for each of us. But for children, both the assessment and management of pediatric pain can be a real challenge for health care providers. Recognizing characteristic indicators of pediatric pain, use of pain measurement scales, and pain management (both pharmacological and non-pharmacologic measures of treatment) are important when caring for the children…..

EMS Reference: 10 Things to Know About Acute Pain Management

EMS World: An EMS Guide to Chronic Pain

In the United States today, there are more than 116 million adults suffering from chronic pain. That is more than are affected by heart disease, cancer and diabetes combined. Among these sufferers, nearly 50 million experience pain so severe that it partially or permanently disables them……

Pediatric and Adult Comfort Positions

Comfort positions can be used during a number of procedures including IV starts, blood draws, NG placements, and injections. These positions can be adapted for use in a variety of locations: at the hospital, at the doctor’s office, the dentist, or other areas where children may need assistance holding still.