Evidence map›Paper›PMID 32002561›Full record

ArticleDer Anaesthesist2020

[Analgesia for trauma patients in emergency medicine].

D Häske, B W Böttiger, B Bouillon, M Fischer, Gernot Gaier, B Gliwitzky, M Helm, P Hilbert-Carius, B Hossfeld, B Schempf and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in Der Anaesthesist, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 20 citations in OpenAlex.

  1. Observational
  2. Observational
  3. Article
  4. Observational
  5. Acute Traumatic Pain in the Emergency Department.Diseases (Basel, Switzerland) · 2023
    Review
  6. Review
  7. Observational
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 1 country.

D HäskeUniklinikum Tübingen, Eberhard Karls Universität, 72076, Tübingen, Deutschland.
B W BöttigerKlinik für Anästhesiologie und Operative Intensivmedizin, Uniklinik Köln, 50937, Köln, Deutschland.
B BouillonKlinik für Orthopädie, Unfallchirurgie und Sporttraumatologie, Kliniken Köln, Lehrstuhl der Universität Witten/Herdecke, 51067, Köln, Deutschland.
M FischerKlinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Alb Fils Kliniken, 73035, Göppingen, Deutschland.
Gernot GaierKlinik für Anästhesiologie, operative Intensivmedizin, Notfallmedizin, Schmerztherapie und Palliativmedizin, Klinikum am Steinenberg, 72764, Reutlingen, Deutschland.
B GliwitzkyMegaMed GbR, 67487, Maikammer, Deutschland.
M HelmKlinik für Anästhesiologie, Intensivmedizin, Notfallmedizin u. Schmerztherapie, Bundeswehrkrankenhaus Ulm, 89081, Ulm, Deutschland.
P Hilbert-CariusKlinik für Anästhesiologie, Intensiv- u. Notfallmedizin, Schmerztherapie, Bergmannstrost BG Klinikum Halle gGmbH, 06112, Halle, Deutschland.
B HossfeldKlinik für Anästhesiologie, Intensivmedizin, Notfallmedizin u. Schmerztherapie, Bundeswehrkrankenhaus Ulm, 89081, Ulm, Deutschland.
B SchempfMedizinische Klinik II - Kardiologie, Angiologie, Intensivmedizin, Klinikum am Steinenberg, 72764, Reutlingen, Deutschland.
A WafaisadeKlinik für Orthopädie, Unfallchirurgie und Sporttraumatologie, Kliniken Köln, Lehrstuhl der Universität Witten/Herdecke, 51067, Köln, Deutschland.
M BernhardZentrale Notaufnahme, Universitätsklinikum Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland. michael.bernhard@med.uni-duesseldorf.de.
Bundeswehrkrankenhaus · DEKreiskliniken Reutlingen · DEWitten/Herdecke University · DEAlb Fils Kliniken · DEBG Klinikum Bergmannstrost Halle · DEHeinrich Heine University Düsseldorf · DEPoliklinik für Endokrinologie, Diabetologie und Präventivmedizin · DEUniversitätsklinikum Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adequate analgesia is one of the most important measures of emergency care in addition to treatment of vital function disorders and, if indicated, should be promptly undertaken; however, a large proportion of emergency patients receive no or only inadequate pain therapy. The numeric rating scale (NRS) is recommended for pain assessment but is not applicable to every group of patients; therefore, vital signs and body language should be included in the assessment. Pain therapy should reduce the NPRS to <5 points. Ketamine and fentanyl, which have an especially rapid onset of action, and also morphine are suitable for analgesia in spontaneously breathing patients. Basic prerequisites for safe and effective analgesia by healthcare professionals are the use of adequate monitoring, the provision of well-defined emergency equipment, and the mastery of emergency procedures. In a structured competence system, paramedics and nursing personnel can perform safe and effective analgesia.

Indexed as

Wounds and InjuriesAnalgesiaEmergency Medical ServicesEmergency MedicineFentanylHumansKetaminePainPain ManagementPain MeasurementFentanylKetamineCommunicationInjuryPainPatient monitoringPatient safety

Identifiers

PMID32002561
OpenAlexW3003755706

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.