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Management of Chronic Pain in the Emergency Department 

Management of Chronic Pain in the Emergency Department
Chapter:
Management of Chronic Pain in the Emergency Department
Author(s):

Waleed Shah

, Dajie Wang

, and David E. Custodio

DOI:
10.1093/med/9780199349302.003.0008
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date: 18 October 2019

The chapter suggests that multidisciplinary collaboration and other factors ultimately may be more important for patient satisfaction with the emergency department’s management of their pain than actual receipt of analgesics or opioids. Long-term success in the management of chronic pain in patients who frequently present to the emergency department will require healthcare providers of different specialties to work together as a team. The short-acting opioids are preferable for use in the emergency department for acute pain when pain severity warrants their use. It is suggested that the lowest effective dose be administered in order to avoid use of long-acting or extended-release formulations and that a short course be used. Assessment for opioid misuse and abuse should also be carried out.

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