Chapter
Follow-Up/Discharge Considerations
4 Pain and Analgesia in the Infant
Definition of Pain in Infants
Development of Nociception
Pain Assessment in the Infant
Nonpharmacologic Interventions
Pharmacologic Interventions
Topical and Injected Local Anesthetics
Follow-up/Consultation Considerations
5 Provider Bias and Patient Selection for Emergency Department Procedural Sedation and Analgesia
6 Federal and Hospital Regulatory Oversight in Emergency Department Procedural Sedation and Analgesia
Sedation Regulatory Considerations
7 Nursing Considerations in Emergency Department Procedural Sedation and Analgesia
Preprocedure Phase Nursing Considerations for ED PSA
Intraprocedure Phase Nursing Considerations for ED PSA
Postprocedure Phase Nursing Considerations for ED PSA
Section Two. Analgesia for the Emergency Patient
8 Pharmacology of Commonly Utilized Analgesic Agents
Approach to the Patient/Situation
Acetaminophen (paracetamol)
Nonsteroidal anti-inflammatory agents
Nonselective COX inhibitors
Follow-up/consultation considerations
9 Patient Assessment: Pain Scales and Observation in Clinical Practice
Clinical Significance vs Statistical Significance
Unidimensional vs Multidimensional Scales
Unidimensional Pain Scales
Verbal descriptor scale (VDS)
The Wong-Baker FACES Pain Scale
Multidimensional Pain Scales
The Preverbal, Early Verbal Pediatric Pain Scale
MPQ – Short Form (SF-MPQ)
Memorial Pain Assessment Card (MPAC)
Brief Pain Inventory – Short Form (BPI-SF)
10 Pathways and Protocols for the Triage Patient with Acute Pain
11 Patients with Acute Pain: Patient Expectations and Desired Outcomes
Pain/Sedation Considerations
Follow-Up/Consultation Considerations
12 Analgesia for the Adult and Pediatric Multitrauma Patient
Clinical assessment of pain and management of the multitrauma patient
Pain/sedation considerations
Pain and sedation management
Nonpharmacological Approaches to Analgesia
Strategies in the Provision of Analgesic and Sedative Agents
Regional and Local Anesthesia
13 Analgesia for the Emergency Department Isolated Orthopedic Extremity Trauma Patient
Follow-Up/Consultation Considerations
14 Analgesia for Selected Emergency Eye and Ear Patients
Follow-up/consultation considerations
15 Analgesia for the Emergency Headache Patient
16 Analgesia for the Emergency Chest Pain Patient
Cardiovascular Etiologies
Cardiovascular Etiologies
Follow-up/consultation considerations
17 Analgesia for the Emergency Back Pain Patient
Skeletal Muscle Relaxants
Physical therapy/Exercise therapy/Spinal Manipulation/Acupuncture
Facet Injections/Epidural Injections
18 Analgesia for the Acute Abdomen Patient
19 Analgesia for the Renal Colic Patient
20 Analgesia for the Biliary Colic Patient
21 Analgesia for the Chronic Pain Patient
Follow-up/ consultation considerations
22 Outpatient Analgesia following Acute Musculoskeletal Injury
Section Three. Procedural Sedation for the Emergency Patient
23 Patient Assessment and Preprocedure Considerations
24 Monitoring for Procedural Sedation
Depth of sedation/level of consciousness monitoring
25 Pharmacology of Commonly Utilized Sedative Agents
Clinical assessment: approach to the patient/situation
26 Procedural Sedation for Pediatric Laceration Repair
Sedation and pain considerations
Sedation and pain management
27 Procedural Sedation for Pediatric Radiographic Imaging Studies
Pain/sedation considerations
28 Procedural Sedation for Brief Pediatric Procedures: Foreign Body Removal, Lumbar Puncture, Bone Marrow Aspiration, Central Venous Catheter Placement
Pain/sedation considerations
Specific Agents for Sedation/Analgesia during Brief Pediatric Procedures
Follow-up/consultation considerations
29 Procedural Sedation for Adult and Pediatric Orthopedic Fracture and Joint Reduction
Pain/sedation considerations
30 Procedural Sedation for Electrical Cardioversion
31 Procedural Sedation for Brief Surgical Procedures: Abscess Incision and Debridement, Tube Thoracostomy, Nasogastric Tube Placement
Abscess Incision and Debridement
Pain/sedation considerations
Follow-up/consultation considerations
Pain/sedation considerations
Follow-up/consultation considerations
Nasogastric (NG) Tube Placement
Pain/sedation considerations
Follow-up/consultation considerations
Section Four. Topical, Local, and Regional Anesthesia Approach to the Emergency Patient
32 Selected Topical, Local, and Regional Anesthesia Techniques
Pain considerations and management
Distribution of anesthesia
Transthecal Digital Nerve Block
Distribution of anesthesia
Distribution of anesthesia
Distribution of anesthesia
Distribution of anesthesia
Distribution of anesthesia
Distribution of anesthesia
Superficial Nerves of the Ankle
Distribution of anesthesia
Distribution of anesthesia
Distribution of anesthesia
Supraorbital and Supratrochlear Nerves
Distribution of anesthesia
Distribution of anesthesia
Distribution of anesthesia
Follow-up/consultation considerations
33 Topical Anesthesia Considerations for Pediatric Peripheral Intravenous Catheter Placement
Nonpharmacologic Techniques
34 Regional Anesthesia for Adult and Pediatric Orthopedic Fracture and Joint Reduction
Pain/sedation considerations
Distribution of anesthesia
Distribution of anesthesia
Follow-up/consultation consideration
35 Regional Anesthesia for Dental Pain
Anesthetics for Topical Application during Dental Procedures
Selection of a Local Anesthetic
Supraperiosteal Injection
Distribution of anesthesia
Greater Palatine Nerve Block
Distribution of anesthesia
Distribution of anesthesia
Inferior Alveolar Nerve Block
Distribution of anesthesia
Follow-up/ consultation considerations
36 Local Anesthesia for Laceration Repair
Pain/sedation considerations
Minimizing Pain of Local Anesthesia
Minimizing Risk of Local Anesthesia
Follow-up/consultation considerations
Section Five. Special Considerations for Emergency Procedural Sedation and Analgesia
37 Sedation and Analgesia for the Prehospital Emergency Medical Services Patient
Sedation and pain considerations
38 Induction Agents for Rapid Sequence Intubation of the Emergency Department Patient
Pain/sedation considerations
Neuromuscular Blocking Agents/Paralytics
39 Sedation and Analgesia for the Critical Care Patient
Pain and sedation considerations
Pain and sedation management
Propylene glycol toxicity.
Benzodiazepine-induced delirium
Bradycardia, acidosis, propofol infusion syndrome (pris)
Propofol as a preferred long-term sedative option?
Haloperidol improves outcomes?
Atypical Antipsychotic Agents
Long-term dexmedetomidine use
Emergency Sedation and Pain Management
Disclaimer: Any content in publications that violate the sovereignty, the constitution or regulations of the PRC is not accepted or approved by CNPIEC.