ReviewJournal of clinical medicine2023
The Pain Management of Trauma Patients in the Emergency Department.
Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04705480 (Pregabalin vs. Gabapentin on Reducing Opioid Usage in Trauma Patients), which is not on this map. Cited by 33 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Pregabalin vs. Gabapentin on Reducing Opioid Usage in Trauma Patients
Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- Ketamine versus morphine for musculoskeletal trauma pain: a meta-analysis of randomized controlled trials.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Pooled it
- The 2023 WSES guidelines on the management of trauma in elderly and frail patients.World journal of emergency surgery : WJES · 2024Guideline
- Seizure Rates in Mild and Moderate Traumatic Brain Injury With Intracranial Hemorrhage: A Signal for Prospective Investigation of Seizure Prophylaxis in Moderate TBI.World journal of surgery · 2026Article
- Inhaled Methoxyflurane in Australian Emergency Departments-A Cost-Minimisation Analysis.Emergency medicine Australasia : EMA · 2026Article
- Defining the need for analgesia in the emergency department: an international consensus statement.European journal of emergency medicine : official journal of the European Society for Emergency Medicine · 2026Article
- Management of Mild to Moderate Pain from Triage to Discharge in the Emergency Department: A Multidisciplinary Delphi Consensus from the Italian Society of Emergency Medicine (SIMEU).Journal of clinical medicine · 2026Article
- The assessment and management of acute trauma pain in a Cape Town, South Africa Emergency Centre: A retrospective chart review.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Emergency Department Disposition Among Pediatric Road Traffic Injury Patients Admitted to AaBET Hospital Emergency Department, Addis Ababa, Ethiopia.Emergency medicine international · 2026Article
- Prevalence and factors associated with acute pain among emergency trauma patients.World journal of emergency medicine · 2026Article
- Analgesia in trauma patients treated by advanced life support nursing units: a retrospective pre-post intervention observational study.Revista latino-americana de enfermagem · 2026Observational
- Acute pain and analgesic prescribing in trauma inpatients at a tertiary hospital: A cross-sectional study.Journal of the colleges of medicine of South Africa · 2026Article
- A systematic review protocol: Efficacy and safety of nitrous oxide in analgesia in burn patients with dressing change.PloS one · 2026Article
- Comparison of the efficacy of bolus low-dose ketamine versus bolus plus infusion low-dose ketamine on pain management in emergency departments: a randomized clinical trial.Clinical and experimental emergency medicine · 2025Article
- Clinical Outcomes of Pharmacist Involvement in Cardiac Arrest and Trauma Resuscitations: A Scoping Review.Pharmacy (Basel, Switzerland) · 2025Review
- Individual and population differences affect the pain management in acute musculoskeletal injury.World journal of orthopedics · 2025Article
- Porphyrin-based porous organic polymer for the NIR-enhanced delivery of bupivacaine towards pain management in bacterial infection therapy.RSC advances · 2025Article
- Pain control in trauma patients in emergency departments: current status and influencing factors.Frontiers in public health · 2025Article
- Improving pain management for trauma patients at two Rwandan emergency departments.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- Efficacy and safety of the serratus anterior plane block (SAP block) for pain management in patients with multiple rib fractures in the emergency department: a retrospective study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Present and Future of Pharmacological Management for Acute Moderate-to-Severe Postoperative, Traumatic, or Musculoskeletal Pain in Europe: A Narrative Review.Pain and therapy · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The vast majority of injured patients suffer from pain. Systematic assessment of pain on admission to the emergency department (ED) is a cornerstone of translating the best treatment strategies for patient care into practice. Pain must be measured with severity scales that are validated in clinical practice, including for specific populations (such as children and older adults). Although primary care ED of trauma patients focuses on resuscitation, diagnosis and treatment, pain assessment and management remains a critical element as professionals are not prepared to provide effective and early therapy. To date, most EDs have pain assessment and management protocols that take into account the patient's hemodynamic status and clinical condition and give preference to non-pharmacological approaches where possible. When selecting medications, the focus is on those that are least disruptive to hemodynamic status. Pain relief may still be necessary in hemodynamically unstable patients, but caution should be exercised, especially when using opioids, as absorption may be impaired or shock may be exacerbated. The analgesic dose of ketamine is certainly an attractive option. Fentanyl is clearly superior to other opioids in initial resuscitation and treatment as it has minimal effects on hemodynamic status and does not cause central nervous system depression. Inhaled analgesia techniques and ultrasound-guided nerve blocks are also increasingly effective solutions. A multimodal pain approach, which involves the use of two or more drugs with different mechanisms of action, plays an important role in the relief of trauma pain. All EDs must have policies and promote the adoption of procedures that use multimodal strategies for effective pain management in all injured patients.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.