Volume 19 Supplement 2

Danish Society for Emergency Medicine: Research Symposium 2011

Open Access

The use of “brutacaine” in children in emergency departments in Denmark

Contributed equally
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine201219(Suppl 2):P49

https://doi.org/10.1186/1757-7241-19-S2-P49

Published: 16 April 2012

Background

The physical restraint of children during painful procedures has been called “brutacaine”. We sought to investigate if there was an un-met need for paediatric procedural pain management/sedation in Danish Emergency departments (EDs).

Methods

An online questionnaire was distributed to the leading nurses of the Eds. We chose to limit our inclusion to the 21 emergency hospitals in Denmark.

Results

The response rate was 81% (n=17). Of these, 71% (n=12) “often” or “sometimes” use physical restrain of children during procedures. Paediatric sedation is only possible in 29% of the EDs (n= 5). 29% (n=5) of the leading nurses stated that they at least once a month found there is a need for procedural sedation that their department is unable to provide. The three most commonly mentioned reasons for less than optimal pain management in the ER are: lack of subject specific education among the nursing staff of the EDs (71%, n=12) and lack of training among the doctors on call in the EDs on paediatric procedural sedation (53%, n=9) as well as a need for local guidelines on the subject (41%, n=7).

Conclusion

Physical restrain of children is a common event in Danish ED’s. The findings indicate that there could be an un-met need for pain management during procedures in Danish EDs. Possible solutions could include guidelines on the subject, targeted education of ED staff and increased local involvement of the anaesthesia department concerning pain management in the ED’s.

Notes

Authors’ Affiliations

(1)
Anæstesiologisk Afd 4013, Juliane Marie Centret, Rigshospitalet

Copyright

© Sønderskov and Hallas; licensee BioMed Central Ltd. 2012

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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