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Since pain is a primary impetus for patient presentation to the Emergency Department (ED), its
treatment should be a priority for
acute care providers. Historically, the ED has been marked by shortcomings in both the evaluation and
amelioration of pain. Over
the past decade, improvements in the science of pain assessment and management have combined to
facilitate care improvements
in the ED. The purpose of this review is to address selected topics within the realm of ED pain
management. Commencing with
general principles and definitions, the review continues with an assessment of areas of controversy
and advancing knowledge in
acute pain care. Some barriers to optimal pain care are discussed, and potentialmechanisms to
overcome these barriers are offered.
While the review is not intended as a resource for specific pain conditions or drug information, selected
agents and approaches are
mentioned with respect to evolving evidence and areas for future research.
BAB I
PENDAHULUAN
pain is the mostcommonreason for seeking health care
and, as a presenting complaint, accounts for up to
78%of visits to the emergency department (ED).5,10,13
Adequate analgesia in EDs is an important goal of treatment;
however, the underuse of analgesics, termed oligoanalgesia,
occurs in a large proportion of ED patients (Todd, 2007)