Pain Management ＆ Sedation: Emergency Department Management

Book Description

• Audience includes 23,000 Emergency Medicine Physicians; 4,500 Emergency Medicine Residents; 15,000 Urgent Care Centers; 4,000 Emergency Departments
• Pain is the chief complaint of 50% of all emergency room visits
• Procedures and techniques covered include: nerve blocks, local anesthesia, conscious sedation, and regional anesthesia
• Topics covered include: details on drug therapeutics, regulations, drug-seeking patients, legal aspects of pain management and sedation, and much more
• Drug and dosage tables throughout
• Chapters on the treatment of pediatric and geriatric pain

About the Book
DETAILED GUIDANCE ON PAIN RELIEF IN THE ED

This thorough and informative text provides ready, expert answers to both everyday questions and to the often challenging, complex, and diverse issues that arise around pain management and sedation in the emergency department. Written by three leading authorities, Pain Management and Sedation provides in-depth, yet practical and easy-to-find guidance on relieving the complaint that brings more than 50% of patients to emergency care. A groundbreaking work, it is the first text to treat this important subject in depth from the emergency room perspective.

Covering every aspect of the subject, Pain Management and Sedation offers

• Step-by-step guidance on approaches to patients, from preprocedure through discharge
• System-by-system patient evaluation protocols
• In-depth coverage of specific techniques, from conscious sedation through iontophoresis
• Drug-class by drug-class guidance on pharmacologic agents
• Specific guidance on pediatric, geriatric, pregnant, neonatal, and other patients with special considerations
• Coverage of useful techniques such as TENS, hypnosis, psychologic approaches, and other nonpharmacologic interventions
• Expert advice on key policy, administrative, and legal concerns

EXPERT GUIDANCE

• Patient assessment protocols
• Drug regulations
• Drug-seeking patients
• Local and regional anesthesia
• Conscious sedation
• Drug therapeutics, with dosage charts
• Patients with special considerations
• Anxiety relief
• Nonpharmacologic interventions
• Legal and administrative issues

Table of Contents
Section I: ADMINISTRATIVE

1. History/Background

2. Definitions

3. Regulations

4. Documentation/Standardized Forms

5. Quality Improvement/Risk Management

6. Legal Aspects

7. Policies and Procedures

Section II: APPROACH TO THE PATIENT

1. Preprocedural Patient Assessment

2. American Society of Anesthesia (ASA) Classifications

3. Pain Scales

4. Equipment

5. Procedural Patient Assessment and Monitoring

a. Airway

b. Respiratory

c. Cardiovascular/Hemodynamics

d. Neurologic

6. Post Procedure Evaluation

a. Discharge Criteria Assessment of Patient Stability

b. Patient Discharge Instructions

Section III: PHYSIOLOGY

1. Cardiovascular

2. Respiratory

3. Central Nervous System

4. Autonomic Nervous System

5. Renal

6. Hepatic

Section IV: PROCEDURE/TECHNIQUES

1. Conscious Sedation

2. Pain Management

a. Definition, acute vs chronic

b. Pathophysiology

c. The Drug Seeking Patient

3. Regional Anesthesia

4. Nerve Blocks

5. Local Anesthesia

a. Topicals

1. Vapocoolant sprays

2. Creams: EMLA, Eutetic, elemax

3. Combination Solutions: Tac, LET

b. Injectables

1. Amides

2. Esters

3. Long acting vs short acting

4. Others: Benadryl

c. Iontophoresis (numby)

Section V. PHARMACOLOGY

1. Muscle Relaxants

2. Neuromuscular Blockers

3. Adjunctive Medications

a. Atropine/Glycopyrolate

b. Lidocaine

c. Others

4. Reversal Agents

a. Naloxone/Naltrexone

b. Flumazenil

5. Agents for Conscious Sedation (Sedative Drugs)

a. Propofol

b. Etomide

c. DPT

d. Chloral Hydrate

e. Barbiturates

f. Benzodiazepines

g. Ketamine

6. Pain Medications

a. Opoids

b. Nonsteroidal

c. Acetaminophen

d. Others

7. Anesthetics

a. Inhalant anesthetics

b. Nitrous oxide

Section VI: SPECIAL CONSIDERATIONS

1. Devices

a. Transcutaneous Electrical Nerve Stimulation (TENS)

b. Continuous Infusions

2. Palliative Care

3. Pediatrics

a. Pediatrics

b. Neonates

c. Children with Special Health Care Needs

4. Geriatrics

5. The Pregnant Patient

6. Nonpharmacologic Interventions

a. Hypnosis

b. Psychologic Techniques