analgesia

Intranasal Analgesia

Being flexible and creative are important traits to have while working the ED. It is also vital to always keep the end result in mind. Pain control is always an important endpoint for us to constantly consider. While most of us would say that we strive alleviate our patients’ pain, there is evidence that we are not great at it.

Thanks to Sean M. Fox, MD (@PedEMMorsels) for this great post!

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Ketamine for Analgesia in the ED

“Ketamine provides excellent analgesia with no or minimal effects on perception or emotion”

We are very excited to bring you a post from Reuben Strayer, MD (@emupdates) on ketamine as an alternative to opiates for pain relief in the ED. The discussion highlights indications for use, dosing recommendations, and how to avoid potentiating the medication’s psychiatric effects.

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Update: Analgesia and Sedation in the Intubated ED Patient

“Targeting light sedation within the first twelve hours of intubation decreases morbidity and mortality”

Taking a thoughtful approach toward keeping your intubated patient comfortable is not just the humane thing to do – it can make a big difference in their ultimate outcome. Rachel Shard, MD discusses strategies for pain relief and sedation in these patients, including prioritization of analgesia and the pros/cons of propofol, benzos, and dexmedetomidine.

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