trauma. Acute pain due to trauma
Conditions
Interventions
Intervention 1: Intervention group:Intervention The intervention in the present study will include a person-centered care package focusing on three components: a) specialized triage, b: pain managemen
Sponsors
Khoram-Abad University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: (age 18-60 years) Abdominal, chest and orthopedic trauma (musculoskeletal) Having triage level 3 or 4 according to the ESI triage system Having acute pain means that the pain started 6 hours ago Having a minimum score of mild pain based on NRS having the ability to communicate The patient is alert and aware Injury Severity Score (ISS) in terms of anatomical area in the mild to moderate range No history of admission to the emergency room for 6 months Absence of sleeping pills, herbal medicines and other complementary medicine treatments from one month ago All injured transported by 115 emergency
Exclusion criteria
Exclusion criteria: Mental illness or cognitive impairment Unstable hemodynamic status Drug and alcohol abuse Serious diseases such as advanced liver disease, acute infectious diseases and chronic pain syndrome Active bleeding Transfer to the ICU or operating room Traumas of the face, head and neck and spinal cord Pregnancy Allergy to analgesics used in the present study Being treated with other pain and restlessness management protocols Participate in other emergency service enhancement interventions affecting experience Being admitted in an emergency department for less than 90 minutes Unwillingness to participate in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Triage score: It is measured according to the specialized triage criteria of trauma patients. Timepoint: Patients' triage score is measured at the time of admission to the emergency room. Method of measurement: Using the specialized triage criteria of mREMS trauma patients.;Pain intensity: Measured using the NRS criterion. Timepoint: Pain intensity is assessed upon arrival, 15, 30, and 60 minutes after analgesia according to the pain control protocol. Method of measurement: Using the NRS criterion. | — |
Secondary
| Measure | Time frame |
|---|---|
| Triage accuracy: comes from the degree of agreement between the scorers, which includes the principal investigator and the emergency physician. Timepoint: Upon arrival of patients to the emergency room. Method of measurement: comes from the degree of agreement between the scorers, which includes the principal investigator and the emergency physician.;Pain control and management. Timepoint: At the onset and at 15, 30 and 60 minutes after the implementation of the pain control protocol. Method of measurement: It is measured in patients using the NRS system.;Satisfaction with pain control. Timepoint: When leaving the emergency department. Method of measurement: Using a questionnaire to assess patient satisfaction with pain control.;Patients' experiences. Timepoint: When leaving the emergency department. Method of measurement: Using the AEDQ questionnaire. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactNesa.Khademi
Khoram-Abad University of Medical Sciences
Outcome results
None listed