Gestion de la douleur aux urgences médico-chirurgicales du chu de Sétif

Abstract

Pain affects everyone, young or old, rich or poor. There are many causes of pain : Cancer, injury, infection, surgery, and the experience of pain varies from individual to individual, with different mechanisms. Sixty percent (60%) of patients in the emergency department experience severe pain. Pain control is a major public health concern. Pain assessments should be tailored to each individual patient. The three recommended levels of self-assessment are visual analog scale, numerical scale, and verbal scale. Patients who are unable to communicate can be assessed in a heterogeneous manner. It is essential that sedation is initial and personalized for each patient. It is essential to establish care protocols that are approved by all nursing staff on the ward. Analgesia is a multimodal process that can include physical, psychological and pharmacological means. The surgical activity of surgical emergency departments is largely influenced by abdominal and thoracic surgical emergencies. A multidisciplinary approach is essential, with close collaboration between surgeons and intensive care anesthesiologists. Despite personal and institutional efforts, it has been shown that less than half of patients are properly treated, a public health issue and a national concern. Pain management in emergency medicine is effective if it is recognized, and if protocols are developed and implemented that are appropriate to the disease and the patient. The involvement of all healthcare professionals is essential to the success of pain quality assurance.