An analysis of closed medical malpractice claims related to pain management identifies common areas of risk and reveals the COVID-19 pandemic has created new possibilities for liability. A top contributing factor in 90% of all closed claims was insufficient consent between the physician and the patient or family.
With sufficient institutional buy-in, appropriate patient education, and staff adherence to standardized postoperative prescribing practices, patients undergoing abdominal gynecologic surgery can leave the hospital safely and recover with low doses of opioid medications, or no opioid prescription at all.
Pediatric knee injuries are common and seen frequently in the emergency department. The injuries range from minor to significant, but all have the potential to affect the patient's future participation in athletics — as well as normal childhood, and then adult, activities. The authors comprehensively cover pediatric bony knee injuries, including diagnostic testing, management, and referrals.
Long before the COVID-19 pandemic, frontline providers were confronting an epidemic of patients struggling with opioid use disorders (OUD). Recognizing the urgent need for improvement in this area, the American College of Emergency Physicians is rolling out a new accreditation program that is aimed at nudging EDs across the country to up their game when it comes to both the treatment of pain and the way they manage patients who present with OUD.
Social determinants of health are the conditions in which people are born, grow, work, and age. Before learning more about surgical disparities and their effects on various racial and ethnic groups, researchers will need more of these data.
Scrambler therapy appears to significantly reduce central neuropathic pain for patients with neuromyelitis optica spectrum disorder, although pain reduction is not shown to be sustained for more than 30 days after treatment.
Ketamine is a medication traditionally used by emergency physicians for intubation and procedural sedation. This article will discuss many common and accepted uses of ketamine, primarily for agitation, rapid sequence intubation (RSI), sedation, and pain management.
Painful procedures are common in the acute care setting, and failing to mange a child’s anxiety and pain may have long-term consequences. Being familiar with a diversity of non-pharmacologic and pharmacologic alternatives is critical.
This Cochrane review evaluating acupuncture and acupressure for pain management during labor finds acupuncture may lead to reduced use of pharmacological agents for pain control while acupressure may reduce pain intensity. Higher-quality studies are needed.