Graduate Degree Type
College of Nursing
The purpose o f this study was to compare the pain management o f acute adult trauma patients during the first hour of resuscitation at a Level I Trauma Center versus non Level 1 Trauma Center Emergency Departments.
A descriptive two group comparison design was used for this study. The sample consisted o f 74 patients at the Level I Center and 65 patients at the non Level I Centers. Data was obtained through a retrospective chart review. Type, route, dose of analgesic, time from admission to first dose, and number o f consecutive doses were determined and analyzed by chi-square and independent t-test.
At the Level I Trauma Center only intravenous narcotics were administered in comparison to intravenous and intramuscular narcotics and noon-steroidal anti-inflammatories administered at the non Level 1 Centers. Time from arrival to the administration of the first dose was significantly shorter and quantity of medication was significantly greater at the Level 1 Trauma Center than at the non Level 1 emergency departments supporting the hypothesis that the Level I Trauma Center is more aggressive in the management of pain for acute adult trauma patients.
Ossewaarde, Sally B., "Pain Management Practice in the Acute Adult Trauma Patient" (1997). Masters Theses. 333.