Universität zu Köln

Haeske, D., Boettiger, B. W., Bouilion, B., Fischer, M., Gaier, Gernot, Gliwitzky, B., Helm, M., Hilbert-Carius, P., Hossfeld, B., Schempf, B., Wafaisade, A. and Bernhard, M. (2019). Analgesia for trauma patients in emergency medicine. Notfall Rettungsmed., 22 (6). S. 537 - 550. NEW YORK: SPRINGER. ISSN 1436-0578

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Abstract

Adequate analgesia is one of the most important measures of emergency care in addition to treatment of vital function disorders and, if indicated, should be promptly undertaken; however, a large proportion of emergency patients receive no or only inadequate pain therapy. The numeric rating scale (NRS) is recommended for pain assessment but is not applicable to every group of patients; therefore, vital signs and body language should be included in the assessment. Pain therapy should reduce the NPRS to <5 points. Ketamine and fentanyl, which have an especially rapid onset of action, and also morphine are suitable for analgesia in spontaneously breathing patients. Basic prerequisites for safe and effective analgesia by healthcare professionals are the use of adequate monitoring, the provision of well-defined emergency equipment, and the mastery of emergency procedures. In a structured competence system, paramedics and nursing personnel can perform safe and effective analgesia.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Haeske, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Boettiger, B. W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bouilion, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Fischer, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Gaier, Gernot UNSPECIFIED UNSPECIFIED UNSPECIFIED Gliwitzky, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Helm, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hilbert-Carius, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hossfeld, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schempf, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Wafaisade, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bernhard, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-142989
DOI:	10.1007/s10049-019-00629-y
Journal or Publication Title:	Notfall Rettungsmed.
Volume:	22
Number:	6
Page Range:	S. 537 - 550
Date:	2019
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1436-0578
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SEVERELY INJURED PATIENTS; PAIN MANAGEMENT; PREHOSPITAL ANALGESIA; DOUBLE-BLIND; INTRAVENOUS FENTANYL; KETAMINE SEDATION; ADVERSE EVENTS; CHILDREN; MORPHINE; SAFETY Multiple languages Emergency Medicine Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/14298