Treatment of acute pain in front of the hospital

Trauma, which is a common disease in emergency care, is the treatment of acute pre-hospital pain, mainly in the form of pain, swelling, haemorrhage, malformation and functional impairment. The rapid development of emergency services in recent years has significantly increased the survival rate of trauma victims, but insufficient attention has been paid to pain management for trauma victims. Pain is the lead advocate for trauma patients, but there are no industry norms or guidelines based on evidence-based medical evidence to guide clinical management of early pain for trauma patients. The emergency doctors are very confused when they receive trauma patients: whether trauma patients need treatment for pain, whether pain treatment exacerbates the patient’s blood flow mechanics instability, trauma, how people with combined mental disorders can be treated for pain, and how pain medications and formulations are chosen. In this context, a team of internal emergency medical experts was set up by the editorial department of the Chinese Journal of Emergency Medicine to discuss, revise and finalize the issue of emergency trauma management in the light of recent research and existing standards, norms and guidelines at home and abroad, including through correspondence reviews, in-situ seminars, etc. With regard to consensus-building, the working group developed drafts by searching a number of databases, such as CINAHL, Pubmed, Embase, Cochrane, the Global Database and the China Information Network; the Committee of Experts then discussed and voted on multiple rounds online until consensus was reached. The standard of evidence for this consensus evidence evaluation is referred to in the Cochrane Central Evidence Standard, with a total of five classes of 10, and a total of four classes of reference (see Schedules 1, 2; Figure 1). This consensus has resulted in 13 consensus views around 10 core clinical issues that apply to trauma patients in early assessment and treatment of pain in emergency care. Question 1: Is it possible for people with emergency trauma to undergo pain treatment? Pain is a common complaint by emergency patients, with a prevalence rate of 52% ~79%, of which trauma patients account for about 20% of pain patients, with a numerical pain score of about 6 points in their homes. The treatment received by trauma patients in the emergency section is mostly in the case of trauma control and less in the case of pain management, which leads to the insufficiency and ineffectiveness of the treatment in the emergency section. Statistics show that nearly half of the patients describe pain as unchanged, with only 14 per cent and 32 per cent of the patients with moderate to severe pain suffering receiving treatment in emergency cases, respectively, and even one sixth indicating increased pain during treatment in emergency rooms. A number of forward-looking queue studies have shown that inadequate treatment for early pain can lead to delayed healing, reduced functional recovery and impaired immune functions, which can transform acute pain and suffering into chronic pain or even disability, while at the same time increasing the anxiety and anxiety of patients and affecting medical communication. Early cases of severe trauma are often over-strengthed due to haemorrhagic shock, pain, etc. ” . It is important to improve the patient ‘ s prognosis by reducing the adverse effects on vital organs by regulating the body ‘ s stress through effective resuscitation, pain and sedatement. It is therefore necessary to provide reasonable and effective pain treatment to persons suffering from emergency trauma. Question 2: Timing of trauma patients? The choice of patient time for pain and anguish lacks effective evidence, but it is clearly stated in the ” Consensus of Experts on War Traumatic Pain Management ” , written by the All-Military Professional Committee on Anaesthesia and Resuscitation and the Chinese Medical Association, that pain management for trauma patients should follow the principle of early warning. In response to the complexity of the type of disease and the degree of pain experienced by patients in emergency care, the procedure for early pain treatment is accompanied by the use of appropriate medication or equipment, including the use of painkillers, wound dressing and leg fixing. The choice of analgesics should be based on the rapid, accurate, poorly-reactive, easy-to-use drugs and technologies to be effectively controlled as soon as possible. For patients who are conscious and less ill, oral or partially invertebrate anti-inflammatory drugs are used; for those who are more seriously ill or suffer moderate or severe pain, opioid analgesics and ketamine can be given by myus, intravenous injections.