Approaching acute pain in emergency settings: European Society for Emergency Medicine (EUSEM) guidelines-part 1: assessment: European Society for Emergency Medicine (EUSEM) guidelines-part 1: assessment

Said Hachimi-Idrissi, Frank Coffey, Wolf E. Hautz, Robert Leach, Thomas C. Sauter, Idanna Sforzi, Viliam Dobias

Onderzoeksoutput: Articlepeer review

13 Citaten (Scopus)

Samenvatting

Pain management is a vital component of patient care, particularly in the emergency setting. Pain can hinder the opportunities to treat and manage pain-causing conditions and remains one of the primary reasons patients seek emergency medical care, yet despite this, pain often remains under-acknowledged, under-assessed and undertreated. Despite the importance of effective management of acute pain, there are currently no well-defined emergency medicine guidelines at a European level to support healthcare professionals in achieving this goal. The European Society for Emergency Medicine (EUSEM) identified this as a significant unmet requirement, for improving day-to-day patient management and for providing guidance to trainees and non-emergency medicine physicians. Under the auspices of EUSEM, a programme-the European Pain Initiative-was launched with the aim of providing information, advice and guidance on pain management in pre-hospital and emergency department settings. Search terms were developed to search MEDLINE, Cochrane database, Google Scholar and EMBASE online databases to return English language articles published in the last 10 years. A working package of reference materials was evaluated against inclusion and exclusion criteria and levels of evidence ascribed. A short survey was developed by the European Pain Initiative Steering Committee for completion by EUSEM members to evaluate actual clinical practice. A working document of > 800 publications was identified for further review and evaluation against agreed criteria. Some further publications were included by the Steering Committee to explore older literature for long-established analgesics, or newly emergent literature that was considered important for inclusion but was identified as the guideline development was underway. This article provides the methodology used to inform the guidelines, including survey results of EUSEM members on assessment and treatment of acute pain. A companion manuscript in this issue presents an evidence-based review and recommendations for individualised evaluation of acute pain in patients in emergency settings.

Originele taal-2English
Pagina's (van-tot)1125-1139
Aantal pagina's15
TijdschriftInternal and Emergency Medicine
Volume15
Nummer van het tijdschrift7
DOI's
StatusPublished - 15 okt 2020

Bibliografische nota

Funding Information:
EUSEM acknowledges the support of this European Pain Initiative through funding by an unrestricted educational grant from Mundipharma International Limited awarded in 2018 which was provided without influence or input to the objectives, content, data collection and analysis, conclusions, decision to publish or publication of this guideline. The authors would like to acknowledge colleagues’ contribution in the early development of the European Pain Initiative including Dr. Agnes Ricard-Hibon, Présidente de la Société Française de Médecine d’Urgence, Chef de Service SAMU-SMUR-SAU, GHT Nord-Ouest Vexin Val d’Oise, Pontoise 95, France and Dr. Roberta Petrino, Director Emergency Department, S. Andrea Hospital, Vercelli, Italy. The authors thank Brandfish Limited, Oxfordshire, UK, for providing medical writing and editorial support funded by EUSEM in accordance with GPP3. All authors reviewed the manuscript at each stage, including development of reference works for inclusion and provided comments.

Funding Information:
EUSEM acknowledges the support of this European Pain Initiative through funding by an unrestricted educational grant from Mundipharma International Limited awarded in 2018 which was provided without influence or input to the objectives, content, data collection and analysis, conclusions, decision to publish or publication of this guideline. The authors would like to acknowledge colleagues? contribution in the early development of the European Pain Initiative including Dr. Agnes Ricard-Hibon, Pr?sidente de la Soci?t? Fran?aise de M?decine d?Urgence, Chef de Service SAMU-SMUR-SAU, GHT Nord-Ouest Vexin Val d?Oise, Pontoise 95, France and Dr. Roberta Petrino, Director Emergency Department, S. Andrea Hospital, Vercelli, Italy. The authors thank Brandfish Limited, Oxfordshire, UK, for providing medical writing and editorial support funded by EUSEM in accordance with GPP3. All authors reviewed the manuscript at each stage, including development of reference works for inclusion and provided comments.

Funding Information:
Outside of the submitted work, SHI received speaker honorarium from Mundipharma Research UK in 2017; FC has been an advisory board member and received speaker honorarium fees from Mundipharma International Limited; VD has received speaker honorarium fees and been an advisory board member for Mundipharma International Limited; WH has received research funding from Mundipharma Research UK, and conference attendance fees from Mundipharma Medical Basel, EBSCO Berlin, ISABEL Healthcare and speaker honorarium from AO Foundation Zurich; RL has no competing/conflicts of interests to disclose; TS has received research grants or lecture fees from Bayer, Boehringer Ingelheim, Daiichi-Sankyo and the Gottfried and Julia Bangerter-Rhyner Foundation; IS has no competing/conflicts of interests to disclose.

Publisher Copyright:
© 2020, Società Italiana di Medicina Interna (SIMI).

Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.

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