Pain Management in Pediatric Trauma-Video: Pain Management in Pediatric Trauma

Video Transcription

Video Summary

In this video, Caitlin Feeks, a pediatric emergency medicine physician, and Christine Russo, a pediatric trauma program manager, discuss pediatric pain management from both a physician and nursing perspective. They start by explaining that pain in pediatric patients is often multifactorial and challenging to assess, especially in preverbal children. They emphasize the importance of using a holistic approach that considers the child's age, developmental stage, and surrounding circumstances. The video then provides an overview of age-specific pain scales that can be used to assess pediatric pain, including the CRY scale for neonates, the NIPS scale for infants, the FLAC scale for children over one year old, and the FACES scale for older children. They discuss the use of non-pharmacologic interventions like comforting, distracting, and engaging the child, as well as the importance of involving caregivers in the pain management process. The video also covers various pharmacologic treatment options, including oral, topical, intranasal, inhaled, intravenous, and subcutaneous medications. The presenters provide specific examples of how pain management can be approached in different scenarios, such as injuries to the leg, upper extremity, finger, and cases of multi-trauma. They emphasize the need for prompt pain recognition, early administration of analgesics, and frequent pain reassessments. The video concludes with a summary of the key points discussed and the importance of a multimodal approach to pediatric pain management.

Keywords

pediatric pain management

multifactorial pain assessment

holistic approach

age-specific pain scales

non-pharmacologic interventions

pharmacologic treatment options