응급센터 입원환자의 통증처치에 대한 응급의학적 고찰

Study objective: To recognize importance of pain management in ED and properly manage the ED patients complaining pain by analyzing the intervals between arrival time in ED and pain medicine starting time, the types and the administered routes of pain medicine. Design: Retraspective review of ED charts Setting: University teaching hospital Participants: The patients had admitted in ED of Yeungnam Univesity Hospital with a chief complaint of acute abdominal pain or pain due to bone fracture between June 1, 1995 and December 31, 1995. Results: The study group consisted of 256 patients, 161 of them female, ED administrations of analgesics were 103 cases, 17 of them administered more than two times. The average time interval between arrival time and medication time was 169. 02+-120. 25 minutes Each types of perceived analgesics were antispasmodics 55 cases (53. 40%), NSAID 26 cases (25. 24%) and opioid 19 cases (18. 45%). Every analgesics were administered through intramuscular routes, except only 3 cases. Violences of patients or relatives due to delayed pain control were oocured 32 cases, 5 cases of them selfarged and looked for other haspitals. Condusion: Emergency physicians including interns and residents delayed pain management so long and ordered inappropriate administration routes and types of analgesics. So we thought proper protocols about pain management in ED were established.