Emergency department pain management in special populations
Pain is a leading cause of emergency department (ED) visits globally, yet certain patient populations experience persistent disparities in their pain management due to physiological complexities, comorbidities, and gaps in evidence-based guidelines. This clinical review focuses on individualized, ev...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-07-01
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| Series: | Turkish Journal of Emergency Medicine |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/tjem.tjem_141_25 |
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| _version_ | 1839639293042098176 |
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| author | Katherine Vlasica Amanda Hall Mohammad Anzal Rehman George Notas Christina Shenvi Sergey Motov |
| author_facet | Katherine Vlasica Amanda Hall Mohammad Anzal Rehman George Notas Christina Shenvi Sergey Motov |
| author_sort | Katherine Vlasica |
| collection | DOAJ |
| description | Pain is a leading cause of emergency department (ED) visits globally, yet certain patient populations experience persistent disparities in their pain management due to physiological complexities, comorbidities, and gaps in evidence-based guidelines. This clinical review focuses on individualized, evidence-based approaches to ED pain management in four vulnerable groups: pregnant and breastfeeding patients, patients with sickle cell disease, geriatric populations, and patients with cancer pain and requiring palliative care. The practical recommendations presented in this review for optimal ED pain management in these special populations call for timely, effective, and multimodal analgesia; prioritization of nonpharmacologic and pain syndrome-targeted techniques; awareness of drug-disease and drug-drug interactions; interdisciplinary coordination; and education to mitigate ED clinicians’ biases. This review emphasizes the importance of tailoring pain strategies to population-specific needs to improve outcomes, reduce harm, and advance equity in emergency care delivery. |
| format | Article |
| id | doaj-art-adfdbb4fe6c84cada2d4cc6db302d9d1 |
| institution | Matheson Library |
| issn | 2452-2473 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Turkish Journal of Emergency Medicine |
| spelling | doaj-art-adfdbb4fe6c84cada2d4cc6db302d9d12025-07-04T10:42:07ZengWolters Kluwer Medknow PublicationsTurkish Journal of Emergency Medicine2452-24732025-07-0125315917710.4103/tjem.tjem_141_25Emergency department pain management in special populationsKatherine VlasicaAmanda HallMohammad Anzal RehmanGeorge NotasChristina ShenviSergey MotovPain is a leading cause of emergency department (ED) visits globally, yet certain patient populations experience persistent disparities in their pain management due to physiological complexities, comorbidities, and gaps in evidence-based guidelines. This clinical review focuses on individualized, evidence-based approaches to ED pain management in four vulnerable groups: pregnant and breastfeeding patients, patients with sickle cell disease, geriatric populations, and patients with cancer pain and requiring palliative care. The practical recommendations presented in this review for optimal ED pain management in these special populations call for timely, effective, and multimodal analgesia; prioritization of nonpharmacologic and pain syndrome-targeted techniques; awareness of drug-disease and drug-drug interactions; interdisciplinary coordination; and education to mitigate ED clinicians’ biases. This review emphasizes the importance of tailoring pain strategies to population-specific needs to improve outcomes, reduce harm, and advance equity in emergency care delivery.https://journals.lww.com/10.4103/tjem.tjem_141_25analgesiaemergency departmentpain management |
| spellingShingle | Katherine Vlasica Amanda Hall Mohammad Anzal Rehman George Notas Christina Shenvi Sergey Motov Emergency department pain management in special populations Turkish Journal of Emergency Medicine analgesia emergency department pain management |
| title | Emergency department pain management in special populations |
| title_full | Emergency department pain management in special populations |
| title_fullStr | Emergency department pain management in special populations |
| title_full_unstemmed | Emergency department pain management in special populations |
| title_short | Emergency department pain management in special populations |
| title_sort | emergency department pain management in special populations |
| topic | analgesia emergency department pain management |
| url | https://journals.lww.com/10.4103/tjem.tjem_141_25 |
| work_keys_str_mv | AT katherinevlasica emergencydepartmentpainmanagementinspecialpopulations AT amandahall emergencydepartmentpainmanagementinspecialpopulations AT mohammadanzalrehman emergencydepartmentpainmanagementinspecialpopulations AT georgenotas emergencydepartmentpainmanagementinspecialpopulations AT christinashenvi emergencydepartmentpainmanagementinspecialpopulations AT sergeymotov emergencydepartmentpainmanagementinspecialpopulations |