Pain Management in Adults in Primary Intervention of the Mobile Emergency and Resuscitation Service of Pontoise
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pain
- Sponsor
- Hôpital NOVO
- Enrollment
- 365
- Locations
- 1
- Primary Endpoint
- Evaluation of pain management according to the recommendations of the SFAR and SFMU
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The aim of the study is to carry out an inventory of practices relating to the management of pain: its recognition, assessment and treatment.
Detailed Description
Pain is one of the most frequent reasons for seeking emergency care, with a prevalence of approximately 42% in pre-hospital care. Pain management practices are defined by the French Society of Anaesthesia and Intensive Care (SFAR) and the French Society of Emergency Medicine (SFMU). Pain must be systematically managed and treated. To do this, it is necessary to start by assessing the pain using self-assessment scales, the VAS (Visual Analogue Pain Scale) or the EN (Numerical Pain Scale) being the two validated scales. Depending on the intensity of the pain, appropriate treatments should be prescribed: * If EN \< 6: level I or II analgesic * If EN \> 6: morphine titration Finally, after the treatment has been implemented, the pain must be re-evaluated using the same self-assessment scales in order to attest to the effectiveness of the treatment. There is a lack of knowledge of the recommendations for pain management and assessment: 49% of SMUR doctors do not know the SFAR recommendations and only 17% define severe acute pain by a VAS or ENS greater than 6/10. The aim of the study is to carry out an inventory of practices relating to the management of pain: its recognition, assessment and treatment and to check whether pain management was carried out according to the recommendations of the French Society of Anaesthesia and Intensive Care (SFAR) and the French Society of Emergency Medicine (SFMU).
Investigators
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Evaluation of pain management according to the recommendations of the SFAR and SFMU
Time Frame: At the end of the study, an average of one month
The the recommendations of the SFAR and SFMU about Pain management is based on a composite criterion with the following items: * Pain recognition and assessment EN (Numerical scale) * Implementation of an adapted therapy (prescriptions) according to the pain scale scores * Re-evaluation of pain EN (Numerical scale) The evaluation of the objective is based on this composite criterion : for each item, the answer will be Yes or No. The outcom is validate if the answer of each item is yes.