Assessment of Post Trauma Analgesia in the Emergency Department
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 164
- 试验地点
- 1
- 主要终点
- Improvement in Decrease of Pain Score in Trauma Patients in the Emergency Department with implementation of the protocol - Yes/No and if significant
研究概览
简要总结
Brief Summary -
Pain is a very commoncomplaint in the Emergency Department and severe pain is often caused due totrauma. Therefore an essential part of the management of such patients isrelief of pain. Unfortunately pain evaluation and assessment is often bypassedin the Emergency due to lack of time and improper application of painassessment tools.
The study will consist of two arms – the Pre Protocol arm and the Per Protocolarm.
Thisstudy aims to assess the baseline (Pre Protocol) adequacy of the analgesia byfollow-up assessment of the patient’s pain at half hourly intervals offering aclearer picture of pain management in the ED. This study also aims to implementa pain protocol and assess the impact of the protocol on the above mentionedparameters to assess if standardization of medication improves pain relief inthe ED.
Thepain protocol involves an educational programme that will inform the EDregistrars about the importance of early and appropriate management of pain andregarding the pain protocol.
Thepain protocol for this study divides patients into two categories based ontheir pain score –
· Pain Score ≤ 4 – Inj Paracetamol 1g in 100ml NS iv over 10min
· Pain Score > 4 – Inj Morphine 0.1mg/kg iv and InjParacetamol 1g in 100ml NS iv over 10 min
Thesedrugs shall be administered to all patients in the Post protocol phase if thereis no contraindication to the mentioned drugs.
研究设计
- 研究类型
- Interventional
- 分配方式
- Not Applicable
- 盲法
- Investigator Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 99.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients above 18 years of age presenting with Post Traumatic pain to the Trauma Bay of the Emergency Department.
排除标准
- •Unconscious, disoriented patients 2) Pregnant patients 3) Patients under the influence of drugs including alcohol 4) Patients presenting with chest pain irrespective of cause 5) Patients presenting with life or limb threatening conditions associated with pain 6) Patients with documented history of analgesia use for the same incident 7) Patients with history of Loss of consciousness.
结局指标
主要结局
Improvement in Decrease of Pain Score in Trauma Patients in the Emergency Department with implementation of the protocol - Yes/No and if significant
时间窗: On arrival, Half an hour and One hour from administration of primary analgesic
次要结局
- Time to analgesic administration(Half an hour and one hour after administration)