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Evaluation of the management of cases with pain complaint and practices in emergency departments
Abstract
Evaluation of the Management of Cases with Pain Complaint and Practices in Emergency Departments
ABSTRACT
Background: In this study, we planned to investigate the characteristics of physicians working in the emergency department on pain management and their approaches.
Materials and Methods: This study was carried out prospectively with a questionnaire administered to physicians working in hospitals in ……..Emergency Medicine clinics in six major cities after permission from ……………….. University Non-Interventional Research Ethics Committee. In the questionnaire, 32 questions were asked about the physicians' professional status, demographic data, approach and management of patients with pain complaints, and the data were processed and evaluated using SPSS version 22.
Results: A total of 273 Emergency Medicine Specialists (EMS), Emergency Medicine Assistants (EMA) and General Practitioners (GP) participated in the study. Among the study participants, 37.4% (n=102) used pain scales, while 42.5% (n=116) routinely used pain scales at discharge. In the study, non-steroidal anti-inflammatory drugs were the first preferred analgesic agent for headache, low back pain, extremity pain and dysmenorrhea. In burn patients, acetaminophen (n=122) and fentanyl (n=52) were the preferred drugs. EMS and EMA preferred fentanyl more frequently in abdominal pain and burn patients than the GP group (p=0.001). In patients with chest pain, morphine use by EMS and EMA was significantly higher than GP group.(p<0.001).
Conclusion: It was observed that there was no standardized approach in the management of patients with pain complaints in emergency departments and the use of pain scales was low. It was concluded that the level of education and experience of physicians are important in the choice of analgesia.
Received on, 20 April 2025
Accepted on, 20 July 2025
Published on, 13 August 2025
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DOI: https://dx.doi.org/10.21622/AMPDR.2025.05.2.1313
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Copyright (c) 2025 Anıl Yoldaş, Ali Karakus, Alper Taşkın, Mustafa Polat
Advances in Medical, Pharmaceutical and Dental Research
E-ISSN: 2812-4898
P-ISSN: 2812-488X
Published by:
Academy Publishing Center (APC)
Arab Academy for Science, Technology and Maritime Transport (AASTMT)
Alexandria, Egypt
