Evidence map›Paper›PMID 32930964›Full record

GuidelineInternal and emergency medicine2020

Approaching acute pain in emergency settings; European Society for Emergency Medicine (EUSEM) guidelines-part 2: management and recommendations.

Saïd Hachimi-Idrissi, Viliam Dobias, Wolf E Hautz, Robert Leach, Thomas C Sauter, Idanna Sforzi, Frank Coffey

Abstract readPractice Guideline
PubMed Publisher
In one paragraph

Guideline in Internal and emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Breathing new life into pain management: a systematic review of nebulised ketamine for analgesia.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Pooled it
  2. Guideline
  3. Trial
  4. Review
  5. Article
  6. Efficacy and safety of intravenous sufentanil administration in low-severity acute trauma as a competence of paramedics: a follow-up observational study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Observational
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Review
  12. Review
  13. Article
  14. Sex bias in pain management decisions.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Acute Traumatic Pain in the Emergency Department.Diseases (Basel, Switzerland) · 2023
    Review
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

7 authors.

Saïd Hachimi-IdrissiDepartment of Emergency Medicine, Ghent University Hospital, Corneel Heymanslaan 10, 9000, Ghent, Belgium. said.hachimiidrissi@ugent.be.ORCID 0000-0002-8455-1410
Viliam DobiasSlovak Medical University, Bratislava, Slovakia.
Wolf E HautzDepartment of Emergency Medicine, Inselspital University Hospital, University of Bern, Bern, Switzerland.
Robert LeachDepartment of Emergency Medicine Centre Hospitalier de Wallonie Picarde, Tournai, Belgium.
Thomas C SauterDepartment of Emergency Medicine, Inselspital University Hospital, University of Bern, Bern, Switzerland.
Idanna SforziAnna Meyer Children's Hospital, Florence, Italy.
Frank CoffeyNottingham University Hospitals' NHS Trust, Nottingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Europe, healthcare systems and education, as well as the clinical care and health outcomes of patients, varies across countries. Likewise, the management of acute events for patients also differs, dependent on the emergency care setting, e.g. pre-hospital or emergency department. There are various barriers to adequate pain management and factors common to both settings including lack of knowledge and training, reluctance to give opioids, and concerns about drug-seeking behaviour or abuse. There is no single current standard of care for the treatment of pain in an emergency, with management based on severity of pain, injury and local protocols. Changing practices, attitudes and behaviour can be difficult, and improvements and interventions should be developed with barriers to pain management and the needs of the individual emergency setting in mind.

methodsWith these principles at the forefront, The European Society for Emergency Medicine (EUSEM) launched a programme-the European Pain Initiative (EPI)-with the aim of providing information, advice, and guidance on acute pain management in emergency settings. RESULTS AND

conclusionsThis article provides treatment recommendations from recently developed guidelines, based on a review of the literature, current practice across Europe and the clinical expertise of the EPI advisors. The recommendations have been developed, evaluated, and refined for both adults and children (aged ≥ 1 year, ≤ 15 years), with the assumption of timely pain assessment and reassessment and the possibility to implement analgesia. To provide flexibility for use across Europe, options are provided for selection of appropriate pharmacological treatment.

Indexed as

Acute PainEmergency MedicineEmergency Service, HospitalEuropeHumansPain ManagementPain MeasurementAcute painAnalgesiaEmergency careEmergency departmentNon-pharmacological treatmentPain managementPharmacological treatmentPractice guidelinePre-hospital

Identifiers

PMID32930964

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.