GEMC:Emergency Pharmacology / Pain Management
General
This the main page for the Global Emergency Medicine Curriculum Project's Emergency Pharmacology / Pain Management section. For point of care treatment information see the respective category page and non-GEMC notes.
Blood Thinners: Anticoagulants / Antiplatelet Agents
Blogs & Websites
- Bruins Slot KMH, Berge E. Factor Xa inhibitors versus vitamin K antagonists for preventing cerebral or systemic embolism in patients with atrial fibrillation. Cochrane Database of Systematic Reviews 2013, Issue 8. Art. No.: CD008980. DOI: 10.1002/14651858.CD008980.pub2. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD008980.pub2/pdf/standard
- Cochrane summary http://summaries.cochrane.org/CD008980/comparison-of-two-types-of-blood-thinning-drugs-for-preventing-blood-clots-in-people-with-atrial-fibrillation
Acute Pain Management
Book Chapters - Not Open Access
- Miner JR,Burton J. Pain Management. In: Marx JA, Hockberger RS, Walls RM, et al., eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, PA: Mosby/Elsevier; 2010.
- Ducharme J. Acute Pain Management.In:Tintinalli JE,Stapczynski SJ,Cline DM, et al., eds. Tintinalli's Emergency Medicine:A Comprehensive Study Guide.8th ed. Mc-Graw-Hill, LLC; 2011
Journal Articles - Open Access
- Borczuk P. AnEvidence-Based Approach To The Evaluation And Treatment Of Low Back Pain In The Emergency Department. Emergency Medicine Practice, Vol.15(7; July 2013. http://www.painfree-ed.com/images/yootheme/painfree/PDF/Acute_Pain/AP2_2013.pdf (Accessed on 9/2/13
- Lipp C,Dhaliwal R,Lang E.Analgesia in the emergency department:a GRADE-based evaluation of research evidence and recommendations for practice.Critical Care 2013, 17:212 http://ccforum.com/content/17/2/212 (Accessed on 9/21/13)
Blogs and Websites
- American College of Emergency Physicians Clinical Policy: Critical Issues in the Prescribing of Opioids for Adult Patients in the Emergency Department https://www.acep.org/Clinical---Practice-Management/Clinical-Policy--Critical-Issues-in-the-Prescribing-of-Opioids-for-Adult-Patients-in-the-Emergency-Department/
- Paging Goldilocks to the ER: Acute Pain Management in the Emergency Department, Part I. http://empharmd.blogspot.com/2013/08/paging-goldilocks-to-er-acute-pain.html?m=1
- Scott Weingart. Patient Controlled Analgesia for Acute Pain. http://emcrit.org/podcasts/gentile-pain/
Slide Sets
Podcasts
- Ed Gentile. Patient Controlled Analgesia. http://emcrit.org/podcasts/gentile-pain/
Videos
- Fixed hydromorphone protocol effective for emergency pain management.http://www.youtube.com/watch?v=ceUd0bSmsAE 7/14/2011
Other Resources
Chronic Pain Management
Book Chapters - Not Open Access
- Cline DM. Adults with Chronic Pain. In: Tintinalli JE, Stapczynski SJ, Cline DM, et al., eds. Tintinalli's Emergency Medicine: A Comprehensive Study Guide.8th ed. McGraw-Hill, LLC; 2011
Journal Articles - Open Access
- Manchikanti L, Abdi S, Atluri S, et al.; American Society of Interventional Pain Physicians. American Society of Interventional Pain Physicians (ASIPP) guidelines for responsible opioid prescribing in chronic non-cancer pain: Part 2 -- guidance. Pain Physician. 2012 Jul;15(3 Suppl):S67-116. http://www.painphysicianjournal.com/linkout_vw.php?issn=1533-3159&vol=15&page=S67 Accessed August 2013.
Blogs and Websites
- William Jantsch. The insanity of pain management in the ER. http://www.kevinmd.com/blog/2012/12/insanity-pain-management-er.html
Slide Sets
Podcasts
- Minh Le Cong. ED chronic pain management. http://prehospitalmed.com/2012/08/03/pharm-podcast-31-ed-chronic-pain-management/
- Suzanne E. Johnson. Pain Care in the ED. EM: RAP 2012 (requires subscription). http://www.emrap.org/episode/2012/january/paincareintheed?link=tag-pain
- Rob Orman. The "Oxy Free" ED. EM:RAP 2011. (requires subscription). http://www.emrap.org/episode/2011/march/theoxyfreeed?link=tag-pain
- Jim Ducharme. Chronic Pain - A Response to "Oxy Free ED". EM:RAP 2011 (requires subscription). http://www.emrap.org/episode/2011/july/chronicpain?link=tag-pain
Videos
Other Resources
Pediatric Pain Management
Book Chapters - Not Open Access
- Young KD, Pediatric Emergency Medicine. In: Baren JM, Rothrock SG, Brennan JA, et al., eds. Pediatric Emergency Medicine.
- Auerbach PS.Pain Management and Procedural Sedation in Infant and Children. In:Tintinalli JE,Stapczynski SJ,Cline DM, et al., eds. Tintinalli's Emergency Medicine:A Comprehensive Study Guide.8th ed. Mc-Graw-Hill, LLC; 2011
Journal Articles - Open Access
Blogs and Websites
Slide Sets
Podcasts
- Ilene Claudius. Ouchless ED. EM:RAP 2011. (requires subscription) http://www.emrap.org/episode/2011/november/ouchlessed?link=tag-pain
Videos
- Kim M. Continuum of Acute Pain Management in Children: Pre-Hospital, Emergency Department, Outpatient http://videos.med.wisc.edu/videos/13650
Other Resources
Geriatric Pain Management
Book Chapters - Not Open Access
Journal Articles - Open Access
Blogs and Websites
Slide Sets
Podcasts
Videos
- CampER: Acute and Chronic Pain Management in the Elderly. http://www.youtube.com/watch?v=8HbmQ_l0nAk
- Lovenvirth W. Pain in the Elderly. http://www.youtube.com/watch?v=u0NuPrtUeCA
Other Resources
Pre-Hospital Pain Management
Book Chapters - Not Open Access
Journal Articles - Open Access
Blogs and Websites
Slide Sets
Podcasts
Videos
Other Resources
Aberrant Drug-Related Behaviors in the ED
Book Chapters - Not Open Access
Journal Articles - Open Access
Policies & Guidelines
- Definition of Addiction. American Society of Addiction Medicine. http://www.asam.org/research-treatment/definition-of-addiction. Accessed August 2013.
Blogs and Websites
Slide Sets
Podcasts
Videos
- Typical Drug Seeking ER Patient. http://www.youtube.com/watch?v=_qkZ8vfxZYI
- A Pain Patient's (aka "drug-seeker") ER Adventure! http://www.youtube.com/watch?v=coVJHxmYcwY
Other Resources
Pharmacology of Pain
Book Chapters - Not Open Access
Journal Articles - Open Access
Blogs and Websites
- Chris Bond. NSAIDs Part 1: Which one is best? SOCMOB, 2013. http://socmob.org/2013/02/nsaids-part-1-which-one-is-best/
- Chris Bond. NSAIDs part 2: The Ceiling Effect. SOCMOB 2013. http://socmob.org/2013/02/nsaids-part-2-the-ceiling-effect/
- Chris Bond. NSAIDs Part 3: Gastrointestinal Side Effects and Toxicity. SOCMOB 2013. http://socmob.org/2013/03/nsaids-part-3-side-effects-and-toxicity/
- SOCMOB. Propofol for Migraine Headache. SOCMOB 2013. http://socmob.org/2013/07/propofol-for-migraine-headache/
Slide Sets
Podcasts
- Stuart Swadron. Propofol Abuse. EM:RAP 2012. (requires subscription) http://www.emrap.org/episode/2012/january/propofolabuse?link=episode-segment
Videos
Other Resources
Problems and Controversies of Pain Management
Book Chapters - Not Open Acess
Journal Articles - Open Access
Blogs and Websites
Slide Sets
Podcasts
Videos
- ED Sing-a-Long:The Pain Scale Song. http://www.youtube.com/watch?v=DdGqtvAvUVE
Other Resources
Procedures in Pain Management
Book Chapters - Not Open Access
- Burbulys DB, Procedural Sedation and Analgesia. In: Marx JA, Hockberger RS, Walls RM, et al., eds.Rosen's Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, PA: Mosby/Elsevier; 2010.
- Schindlbeck MA. Local Anesthesia. In: Reichman EF. Emergency Medicine Procedures. 2nd ed. McGraw-Hill Professional Publishing; 2013.
- Schroeder ED, Taillac P. Topical Anesthesia. In: Reichman EF. Emergency Medicine Procedures. 2nd ed. McGraw-Hill Professional Publishing; 2013.
- Graham TP. Hematoma Block. In: Reichman EF. Emergency Medicine Procedures. 2nd ed. McGraw-Hill Professional Publishing; 2013.
- Reichman EF, MeerJ, Seth N. Regional Nerve Blocks. In: Reichman EF. Emergency Medicine Procedures. 2nd ed. McGraw-Hill Professional Publishing; 2013.
- Freeman C. Intravenous Regional Anesthesia. In: Reichman EF. Emergency Medicine Procedures. 2nd ed. McGraw-Hill Professional Publishing; 2013.
- Muniz A. Nitrous Oxide Anesthesia. In: Reichman EF. Emergency Medicine Procedures. 2nd ed. McGraw-Hill Professional Publishing; 2013.
- Dillon DC, Gibbs MA. Local and Regional Anesthesia.In:Tintinalli JE,Stapczynski SJ,Cline DM, et al., eds. Tintinalli's Emergency Medicine:A Comprehensive Study Guide.8th ed. Mc-Graw-Hill, LLC; 2011
- Weaver C, Beckman AW. Procedural Sedation in Adults.In:Tintinalli JE,Stapczynski SJ,Cline DM, et al., eds. Tintinalli's Emergency Medicine:A Comprehensive Study Guide.8th ed. Mc-Graw-Hill, LLC; 2011
- McGee DL,Local and Topical Anesthesia.In: Roberts JR, Hedges JR. Clinical Procedures in Emergency Medicine: Expert Consult - Online and Print, 6th ed. Saunders, 2013.
- Amsterdam JT, Kilgore KP, Regional Anesthesia of the Head and Neck.In: Roberts JR, Hedges JR. Clinical Procedures in Emergency Medicine: Expert Consult - Online and Print, 6th ed. Saunders, 2013.
- Spektor M,Kelly JJ, Nerve Blocks of the Thorax and Extremities. In: Roberts JR, Hedges JR. Clinical Procedures in Emergency Medicine: Expert Consult - Online and Print, 6th ed. Saunders, 2013.
- Roberts JR, Carney SK, Intravenous Regional Anesthesia. In: Roberts JR, Hedges JR. Clinical Procedures in Emergency Medicine: Expert Consult - Online and Print, 6th ed. Saunders, 2013.
- Krauss B, Green SM, Systemic Analgesia and Sedation for Procedures. In: Roberts JR, Hedges JR. Clinical Procedures in Emergency Medicine: Expert Consult - Online and Print, 6th ed. Saunders, 2013.
Journal Articles - Open Access
Blogs and Websites
Slide Sets
Podcasts
Videos
Other Resources
Pain Management Guidelines
Pain Management Protocols
- American College of Emergency Physicians Clinical Policy: Critical Issues in the Prescribing of Opioids for Adult Patients in the Emergency Department https://www.acep.org/Clinical---Practice-Management/Clinical-Policy--Critical-Issues-in-the-Prescribing-of-Opioids-for-Adult-Patients-in-the-Emergency-Department/
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