Here is James’ talk on procedural sedation. Resources: ANZCA guideline on sedation/analgesia Ketofol for procedural sedation revisited: pro and con. Ann Emerg Med. 2015 ACEP Clinical Policy: Procedural Sedation and Analgesia in the Emergency Department Previous CME talks on Procedural…
This guideline outlines the indications and contraindications to local anaesthetic use, a guide to LA selection, maximal doses and administration advice. Indication Local anaesthesia for painful procedures such as wound debridement, suturing, foreign body retrieval and relocation of a dislocated…
Here is Saqib’s talk on paediatric procedural sedation. Resources: PMH Guidelines: Ketamine Sedation Nitrous Oxide Analgesia Topical Anaesthesia
If there is no other suitable analgesic medication, then oral opiate medications can be prescribed on discharge, after discussion with senior ED medical staff, but only in short courses (e.g. 20 tablets), in the immediate release form and at the…
Due to concerns over the high addictive potential of oxycodone, hydromorphone is preferable as a discharge analgesic for strong pain in most groups (other than the elderly where oxycodone’s stimulatory effects may be beneficial). Hydromorphone Hydromorphone intravenous and tablet form…
This guideline outlines our approach to analgesia in the department and gives a guide to dosing of commonly used medications. ANALGESIA GUIDELINE Non-Pharmacological Methods of Pain Control Splinting Apply wood or cardboard splints if possible, using combine dressings to comfortably…
Here is Kate’s talk on procedural sedation. Resources: Dave McIlroy’s previous talk on procedural sedation Ian Muir’s previous talk on procedural sedation and analgesia The adopted ACEM procedural sedation policy: Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines on Sedation…
Here is Hassan’s talk “Opioid free ED?” that reminds us of the analgesic alternatives to opiates and the opiate medications with less abuse potential. Note: the above talk contains clickable links to several studies comparing the effectiveness of different analgesics in certain…
Here is Ian’s talk on procedural sedation and analgesia. Resources: Dave McIlroy’s previous talk on procedural sedation Don’t forget the SCGH ED Procedural Sedation Record:
Here is Brad Lawther’s great talk on the problems related to opioid prescription and some suggested solutions for patients with both acute and chronic pain. In essence, we are trying to limit the prescription of oxycodone and oxycontin given the long term…