Pain Management , Patient Interactions

Strategies and Insights for Procedural Pain Management in the ED

6/25/2024 Jennifer Mirrielees, MD , Jada Thompson

Effective pain management is challenging under any circumstances, particularly for patients presenting to the ED with painful injuries. Many factors contribute to how patients experience and manage pa

Pain Management

Effective and Safe Opioid Dosing for Opioid-Tolerant Patients in the ED

9/10/2023 Alexander Steele, MD , Leonie Oostrom-Shah, MD , Brian Gacioch, MD, FACEP, FAAEM , Rita A. Manfredi, MD, FACEP

In patients with advanced cancer, the combination of disease progression over time, as well as habituation to chronic opioids, often leads to the need to increase opioid dosing over the course of illn

Critical Care , Airway , Pain Management

Post-Intubation Sedation in the ED: The Basics

7/5/2023 Christine Yang, MD , Christian Kasianko, MD , Alex Lucas, MD , Allison Donahue, MD , Erin Bell, MD , Samantha Strickler, DO, FACEP

Emergent intubation requires critical thinking and precision. The same level of care should be extended to managing post-intubation sedation. This summary explores the most commonly used analgesics an

Geriatrics , Pain Management , Palliative Care

Initiating End-of-Life Care From the ED

8/10/2022 Matthew B. Walton, MD , Eric Melnychuk, DO

Compassion and a focus on comfort are keys when delivering end-of-life care in the ED.

Ultrasound , Pain Management , Trauma

Blocking Breaks to Breathe Better

12/12/2021 David Pardue, DO , Casey Wilson, MD , Jacob Pope, DO , Stewart Richardson, MD

Elderly patients with chest wall injuries have a mortality rate up to 13% - attributed in part to the effects of pain. EAST guidelines offer a range of analgesic options, but ultrasound-guided serratu

Ultrasound , Pain Management

The Pericapsular Nerve Group (PENG) Block for Hip Pain

12/12/2021 Chia-Yuan Michael Lee, DO , Matthew Apicella, DO , Robert Farrow, DO

Hip fractures are common injuries evaluated in the ED. The majority of patients who suffer a hip fracture are over 80 years old, and as the population ages, the incidence of hip fractures is expected

Hematology , Pain Management , Toxicology

A Real Pain in the Mouth: Acquired Methemoglobinemia

12/12/2021 Emily Wolery, MD , Cynthia Oliva, MD , K.T. Dyer, MD

Acquired methemoglobinemia, a pathologic condition due to elevated quantities of methemoglobin in the blood, is an infrequent presentation in a healthy adult patient. This case illustrates the risk as

Pain Management , Neurology

Tickle Your Brain to Numb the Pain: EM Use of Sphenopalatine Ganglion Block for Migraine Headaches

6/12/2021 Chiamara Anokwute , Luke Wohlford, MD, MPH

The most prevalent medical problems around the globe are in the sphere of headache disorders. Let's discuss the procedure, use, and relevance of Sphenopalatine Ganglion (SPG) blockade in the abortive

Pediatric EM , Pain Management

Overview of Complications Seen in Pediatric Sickle Cell Disease Patients and How to Manage Them in the Emergency Department

6/12/2021 Heather Jones, DO , Zachary Burroughs

It is estimated there are around 100,000 individuals living in the United States with sickle cell disease (SCD). Patients with sickle cell disease are predisposed to a variety of complications.

Health Policy , Pain Management , Social EM

Policy Shift in the Opioid Epidemic: An Update on the X-Waiver

2/8/2021 Alexander Schin , Halla Bates

After many in emergency medicine celebrated a recent decision to end the X-waiver requirement and clear the way for easier medication-assisted treatment in the emergency department, the waiver of the

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