Wisconsin — Targeted Issue

Impact of an Educational Module on Prehospital Pain Management in Children

March 1, 2004 - Feb. 28, 2007

Grant Number

H34MC02548

Project Overview

Children with musculoskeletal injuries or burns usually transported by ambulance. Despite the availability of analgesic agents and knowledge of adverse effects of untreated pain, most do not receive analgesia. Barriers to this disparity in care should be identified and remedied. The goals of this project are to (1) prospectively evaluate EMS providers' documentation of pain assessment and use of analgesic agents in children age 5-17 years with isolated extremity fractures or burns; (2) identify: provider, patient, and system barriers to administering analgesia to children age 5-17 years with isolated extremity fracture or burns; (3) develop, implement, and evaluate culturally competent educational modules for EMS providers to advance current knowledge while addressing cultural diversity and barriers in pediatric pain management; and (4) develop an assessment tool (pre and posttest) to evaluate EMS providers' knowledge in pediatric pain physiology, assessment, and management before and after the implementation of the Educational Modules.

Institution

Medical College of Wisconsin

Main Contact

Halim Hennes, MD

Award Amount

$199,388

Contacts

Name	Role(s)	Phone	Email
Halim Hennes, MD	Principal Investigator

Products

Title	Format	Description	Published/Revised	Availability
Prehospital Pain Management in Children	Education Module(s)/Curriculum	This education module focuses on the key elements of pain psychology, pain assessment, and pain management interventions for injured children … Prehospital Pain Management in Children Description This education module focuses on the key elements of pain psychology, pain assessment, and pain management interventions for injured children experiencing pain.	2013	Available Online YouTube Link

Disseminations

Title	Type	Publication/Event	Published/Presented	Identifier	Details
Prehospital pain management: current status and future direction	Research Paper/Publication	Clinical Pediatric Emergency Medicine	2006	DOI: 10.1016/j.cpem.2006.01.008	Prehospital pain management: current status and future direction Author(s)/Presenter(s) Hennes H, Kim MK Abstract/Description Despite the recommendations of various professional organizations and evidence on the deleterious effects of untreated pain, inadequate pain management or oligoanalgesia remains a common problem in the prehospital setting. The literature has identified several barriers to adequate prehospital care, and researchers have attempted to address these barriers. Thus far, it appears that education and change in prehospital patient care protocols can improve prehospital pain management. However, there remain too many unanswered questions. The published data on the impact of protocol changes and education did not appear to address all of the identified barriers or address the needs of the pediatric population. In addition, there is pediatric data on appropriate tools for prehospital pain assessment. Finally, there is a dire need to evaluate new and novel analgesic agents that may be delivered via nontraditional routes.