Pediatric Pain Control
Know how to measure it and how to relieve it
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Describe how lifting, posture, and body position can give rise to chronic pain syndromes; Define modifiable associated risk factors for back pain; Identify specific mitigation and prevention strategies; Understand the role of provider education and how departments can help. The suggestion that the back is fragile or easily injured is not only false but provides a foundational belief that can negatively influence the pain experience. Warnings about lifting mechanics and avoiding heavy loads are common in publications, public service announcements, and educational courses. For example, it ...
A 9-1-1 caller frantically told the dispatcher a 9-year-old child had been seriously injured in a traffic accident. The dispatcher paused and took a deep breath, thinking for a moment about his own school-age children. The ambulance crew responded to the scene, which had been witnessed by a dozen frightened bystanders, including children and parents. Quickly moving the child into the ambulance, the paramedics initiated a Code 3 transport to the hospital. Before the end of the day, the department chaplain had been notified of the call twice—once by the duty supervisor, who recognized the pot...
Diversity in EMS is a new bimonthly column in which rotating authors will confront difficult questions of bias and discrimination in the emergency medical services and consider how agencies can lead change in their communities. Why is diversity in EMS important? The quality of healthcare available to marginalized members of our communities has led to large disparities in health outcomes. These have been compounded by the effects of COVID, which has disproportionately affected people of color. When considering diversity we've often focused more on the demographic composition of our EMS workf...
At 15:03 on an otherwise-normal afternoon in 2014, an 85-year-old male developed a sudden onset of right-sided weakness. Upon witnessing his symptoms, a family member called emergency medical services at 15:08. At 15:13 EMS arrived. The crew’s initial exam demonstrated an alert and oriented 100-kg geriatric male with marked weakness of his right arm and leg. His past medical history included coronary artery disease, chronic obstructive pulmonary disease, deep vein thrombosis status post-IVC filter, hypertension, and chronic atrial fibrillation. As scene time progressed, the patient became p...