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Prehospital Emergency Care Volume 18, 2014 - Issue sup1: Evidence-Based Guidelines in EMS
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Research Article

The Implementation and Evaluation of an Evidence-based Statewide Prehospital Pain Management Protocol Developed using the National Prehospital Evidence-based Guideline Model Process for Emergency Medical Services

Kathleen M. Brownfrom the Department of Pediatrics and Emergency Medicine, George Washington School of Medicine, Washington, DC (KMB); Emergency Department, Children's National Medical Center, Washington, DC (KMB); Maryland Institute for Emergency Medical Services Systems, Baltimore, Maryland (RA); Health Resources and Services Administration/Maternal and Child Health Bureau, Rockville, Maryland (TSW); Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland (BL); Baltimore City Fire Department, Baltimore Maryland (BL); Shock Trauma and Anesthesiology Research–Organized Research Center, University of Maryland School of Medicine, Baltimore Maryland (SH); Department of Pediatrics, Emergency Medicine, and Health Policy, George Washington University School of Medicine and Public Health, Washington, DC (JLW); Child Health Advocacy Institute, Children's National Medical Center, Washington, DC (JLW); and Department of Emergency Medicine, Department of Epidemiology and Public Health, University of Maryland, Baltimore, Maryland (JMH).Correspondence[email protected]
, MD,
Jon Mark Hirshonfrom the Department of Pediatrics and Emergency Medicine, George Washington School of Medicine, Washington, DC (KMB); Emergency Department, Children's National Medical Center, Washington, DC (KMB); Maryland Institute for Emergency Medical Services Systems, Baltimore, Maryland (RA); Health Resources and Services Administration/Maternal and Child Health Bureau, Rockville, Maryland (TSW); Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland (BL); Baltimore City Fire Department, Baltimore Maryland (BL); Shock Trauma and Anesthesiology Research–Organized Research Center, University of Maryland School of Medicine, Baltimore Maryland (SH); Department of Pediatrics, Emergency Medicine, and Health Policy, George Washington University School of Medicine and Public Health, Washington, DC (JLW); Child Health Advocacy Institute, Children's National Medical Center, Washington, DC (JLW); and Department of Emergency Medicine, Department of Epidemiology and Public Health, University of Maryland, Baltimore, Maryland (JMH).
, MD, MPH, PhD,
Richard Alcortafrom the Department of Pediatrics and Emergency Medicine, George Washington School of Medicine, Washington, DC (KMB); Emergency Department, Children's National Medical Center, Washington, DC (KMB); Maryland Institute for Emergency Medical Services Systems, Baltimore, Maryland (RA); Health Resources and Services Administration/Maternal and Child Health Bureau, Rockville, Maryland (TSW); Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland (BL); Baltimore City Fire Department, Baltimore Maryland (BL); Shock Trauma and Anesthesiology Research–Organized Research Center, University of Maryland School of Medicine, Baltimore Maryland (SH); Department of Pediatrics, Emergency Medicine, and Health Policy, George Washington University School of Medicine and Public Health, Washington, DC (JLW); Child Health Advocacy Institute, Children's National Medical Center, Washington, DC (JLW); and Department of Emergency Medicine, Department of Epidemiology and Public Health, University of Maryland, Baltimore, Maryland (JMH).
, MD,
Tasmeen S. Weikfrom the Department of Pediatrics and Emergency Medicine, George Washington School of Medicine, Washington, DC (KMB); Emergency Department, Children's National Medical Center, Washington, DC (KMB); Maryland Institute for Emergency Medical Services Systems, Baltimore, Maryland (RA); Health Resources and Services Administration/Maternal and Child Health Bureau, Rockville, Maryland (TSW); Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland (BL); Baltimore City Fire Department, Baltimore Maryland (BL); Shock Trauma and Anesthesiology Research–Organized Research Center, University of Maryland School of Medicine, Baltimore Maryland (SH); Department of Pediatrics, Emergency Medicine, and Health Policy, George Washington University School of Medicine and Public Health, Washington, DC (JLW); Child Health Advocacy Institute, Children's National Medical Center, Washington, DC (JLW); and Department of Emergency Medicine, Department of Epidemiology and Public Health, University of Maryland, Baltimore, Maryland (JMH).
, DrPh, MPH,
Ben Lawnerfrom the Department of Pediatrics and Emergency Medicine, George Washington School of Medicine, Washington, DC (KMB); Emergency Department, Children's National Medical Center, Washington, DC (KMB); Maryland Institute for Emergency Medical Services Systems, Baltimore, Maryland (RA); Health Resources and Services Administration/Maternal and Child Health Bureau, Rockville, Maryland (TSW); Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland (BL); Baltimore City Fire Department, Baltimore Maryland (BL); Shock Trauma and Anesthesiology Research–Organized Research Center, University of Maryland School of Medicine, Baltimore Maryland (SH); Department of Pediatrics, Emergency Medicine, and Health Policy, George Washington University School of Medicine and Public Health, Washington, DC (JLW); Child Health Advocacy Institute, Children's National Medical Center, Washington, DC (JLW); and Department of Emergency Medicine, Department of Epidemiology and Public Health, University of Maryland, Baltimore, Maryland (JMH).
, DO, EMT-P,
Shiu Hofrom the Department of Pediatrics and Emergency Medicine, George Washington School of Medicine, Washington, DC (KMB); Emergency Department, Children's National Medical Center, Washington, DC (KMB); Maryland Institute for Emergency Medical Services Systems, Baltimore, Maryland (RA); Health Resources and Services Administration/Maternal and Child Health Bureau, Rockville, Maryland (TSW); Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland (BL); Baltimore City Fire Department, Baltimore Maryland (BL); Shock Trauma and Anesthesiology Research–Organized Research Center, University of Maryland School of Medicine, Baltimore Maryland (SH); Department of Pediatrics, Emergency Medicine, and Health Policy, George Washington University School of Medicine and Public Health, Washington, DC (JLW); Child Health Advocacy Institute, Children's National Medical Center, Washington, DC (JLW); and Department of Emergency Medicine, Department of Epidemiology and Public Health, University of Maryland, Baltimore, Maryland (JMH).
, MS &
Joseph L. Wrightfrom the Department of Pediatrics and Emergency Medicine, George Washington School of Medicine, Washington, DC (KMB); Emergency Department, Children's National Medical Center, Washington, DC (KMB); Maryland Institute for Emergency Medical Services Systems, Baltimore, Maryland (RA); Health Resources and Services Administration/Maternal and Child Health Bureau, Rockville, Maryland (TSW); Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland (BL); Baltimore City Fire Department, Baltimore Maryland (BL); Shock Trauma and Anesthesiology Research–Organized Research Center, University of Maryland School of Medicine, Baltimore Maryland (SH); Department of Pediatrics, Emergency Medicine, and Health Policy, George Washington University School of Medicine and Public Health, Washington, DC (JLW); Child Health Advocacy Institute, Children's National Medical Center, Washington, DC (JLW); and Department of Emergency Medicine, Department of Epidemiology and Public Health, University of Maryland, Baltimore, Maryland (JMH).
, MD, MPH show all
Pages 45-51 | Received 19 Jun 2013, Published online: 17 Oct 2013

References

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  • Gausche-Hill M, Brown KM, Oliver ZJ, Sasson C, Dayan PS, Eschmann NM, Weik TS, Lawner BJ, Sahni R, Falck-Ytter, Wright JL, Todd K, Lang ES. An Evidence-Based Guideline for Prehospital Analgesia in Trauma. Prehosp Emerg Care. 2014; in press.
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  • Hennes H, Kim M, Pirrallo, R. Prehospital pain management: A comparison of providers’ perception and practice. Prehosp Emerg Care. 2005;9(1):32–39.
  • Swor, R, McEachin CM, Seguin, Grall KH. Prehospital pain management in children suffering traumatic injury. Prehosp Emerg Care. 2005;9:40–43.
  • Siriwardena, A Niroshan M, Shaw D, Bouliotis G. Exploratory cross-sectional study of factors associated with pre-hospital management of pain. J Eval Clin Pract. 2010;16(6):1269–1275.
  • Michael, G E, Sporer, KA, Youngblood, M. Women are less likely than men to receive prehospital analgesia for isolated extremity injuries. Am J Emerg Med. 2007;25(8):901–906.
  • French SC. Salama NP. Baqai S. Raslavicus S. Ramaker J. Chan SB. Effects of an educational intervention on prehospital pain management. Prehosp Emerg Care. 2006;10(1):71–76.
  • McEachin CC, McDermott JT, Swor R. Few emergency medical services patients with lower-extremity fractures receive prehospital analgesia. Prehosp Emerg Care. 2002;6(4):406–410.
  • Lord B, Cui J, Kelly AM. The impact of patient sex on paramedic pain management in the prehospital setting. Am J Emerg Med. 2009;27(5):525–529.

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