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Pediatric Pain Management in the Emergency Department by C. Chumpitazi | OPENPediatrics

This video is a part of our Pain Series. In this episode, Dr. Corrie Chumpitazi gives an overview of pediatric pain management in the emergency department context, with a focus on education and advocacy toolkits for pediatric pain management that can be used nationwide. She discusses how to optimize both recognition and management of pediatric pain, with practical tips for determining medication selection and mitigating bias. She also talks about the use of opioids in treating pediatric pain, with consideration of healthcare disparities and changes in prescribing practices over time. The Pain Series is funded through the generosity of the MAYDAY Fund, which has, over the years, supported investigators and projects that have dramatically improved the pain management of children throughout the world. Upon viewing this presentation, participants will be able to: • Describe available approaches to assessing pediatric pain in the emergency department • Identify available tools for the recognition and management of pediatric pain • Discuss the role of opioids in treating pediatric pain, with consideration of changes in opioid prescribing practices over time • Identify racial and ethnic disparities in the treatment of pediatric pain CHAPTERS 00:00 Introduction 01:59 Key issues in pediatric pain management 04:19 How to appropriately assess pain 07:22 Pain management kits 15:23 How pain kits are utilized 17:05 Opioid discussion 19:16 Optimal health equity between patients with disparities 22:44 Summary DATES Initial Publication: March 8, 2023. ARTICLES REFERENCED • 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;26(7):421-427. (6:37) • Chang CD, Saidinejad M, Atanelov Z, Dietrich AM, Lam SH, Rose E, Ruttan T, Shahid S, Stoner MJ, Sulton C, Chumpitazi CE; ACEP Pediatric Emergency Medicine Committee. Emergency department strategies to combat the opioid crisis in children and adolescents. J Am Coll Emerg Physicians Open. 2021 Jul 21;2(4):e12512. • 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;3(2):e12664. (18:14) • Goyal MK, Drendel AL, Chamberlain JM, et al. Racial/Ethnic Differences in ED Opioid Prescriptions for Long Bone Fractures: Trends Over Time. Pediatrics. 2021;148(5):e2021052481. (19:45) • 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;157(5):1021-1027. (10:30) • Johnson TJ, Winger DG, Hickey RW, et al. Comparison of Physician Implicit Racial Bias Toward Adults Versus Children. Acad Pediatr. 2017;17(2):120-126. (21:57) • Kircher J, Drendel AL, Newton AS, et al. Acute pediatric musculoskeletal pain management in North America: a practice variation survey. Clin Pediatr (Phila). 2014;53(14):1326-1335 (16:48) • Tobias JD, Green TP, Coté CJ; SECTION ON ANESTHESIOLOGY AND PAIN MEDICINE; COMMITTEE ON DRUGS. Codeine: Time to Say "No". Pediatrics. 2016;138(4):e20162396. (11:03) ADDITIONAL REFERENCES • Emergency Medical Services for Children Innovation & Improvement Center (EIIC) toolkits (https://emscimprovement.center/educat...) • EIIC/TREKK: Bottom Line Recommendations Pain Treatment (https://emscimprovement.center/educat...) • Pediatric Education and Advocacy Kit (PEAK) toolkits: (https://emscimprovement.center/educat...) • Stoplight Pain Scale (https://stoplightpainscale.com/) Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: [email protected] Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause. CITATION Chumpitazi CE, Perez C, Daniel D, Wolbrink TA. Pediatric pain management in the emergency department. 3/2023. Online Video. OPENPediatrics.    • Pediatric Pain Management in the Emer...  .