Pediatric Pain Management in the Emergency Department

Gain comprehensive insights into pediatric pain management in emergency departments through this informative video presentation. Learn about effective approaches for assessing and managing pediatric pain, including the use of education and advocacy toolkits. Explore practical tips for medication selection, strategies to mitigate bias, and the role of opioids in pediatric pain treatment. Understand healthcare disparities and changes in prescribing practices over time. Discover tools for recognizing and managing pediatric pain, and examine racial and ethnic disparities in treatment. The presentation covers key topics such as pain assessment techniques, pain management kits, opioid considerations, and promoting health equity among patients with disparities.

Introduction
Key issues in pediatric pain management
How to appropriately assess pain
Pain management kits
How pain kits are utilized
Opioid discussion
Optimal health equity between patients with disparities
Summary
• Ali S, Morrison E, Shwetz S, Yaskina M, Rajagopal M, Estey A, Drendel AL. An assessment of the psychometric properties of the Stoplight Pain Scale in a Canadian paediatric emergency department. Paediatr Child Health. 2021 May 26;267:421-427.
• Chumpitazi CE, Chang C, Atanelov Z, et al. Managing acute pain in children presenting to the emergency department without opioids. J Am Coll Emerg Physicians Open. 2022;32:e12664.
• Goyal MK, Drendel AL, Chamberlain JM, et al. Racial/Ethnic Differences in ED Opioid Prescriptions for Long Bone Fractures: Trends Over Time. Pediatrics. 2021;1485:e2021052481.
• Groenewald CB, Rabbitts JA, Gebert JT, Palermo TM. Trends in opioid prescriptions among children and adolescents in the United States: a nationally representative study from 1996 to 2012. Pain. 2016;1575:1021-1027.
• Johnson TJ, Winger DG, Hickey RW, et al. Comparison of Physician Implicit Racial Bias Toward Adults Versus Children. Acad Pediatr. 2017;172:120-126.
• Kircher J, Drendel AL, Newton AS, et al. Acute pediatric musculoskeletal pain management in North America: a practice variation survey. Clin Pediatr Phila. 2014;5314:1326-1335
• Tobias JD, Green TP, Coté CJ; SECTION ON ANESTHESIOLOGY AND PAIN MEDICINE; COMMITTEE ON DRUGS. Codeine: Time to Say "No". Pediatrics. 2016;1384:e20162396.