• Manon Durand Bechu, Vincent Mouysset, Vincent Minville, Vincent Bounes, and Charles H Houze-Cerfon.
• aSAMU31bDepartment of Anaesthesiology and Intensive Care Medicine, University Hospital of Toulouse, ToulousecDepartment of Anaesthesiology, Clinical Complex of Cedres, Cornebarrieu, France.
• Eur J Emerg Med. 2016 Aug 1; 23 (4): 315-318.

ObjectiveTo compare the perception by naive patients, emergency services clinicians and nurses, of healthcare-induced pain for procedures performed frequently by accident and emergency services.MethodsA prospective, three-part anonymous survey, given to caregivers and patients at arrival accident and emergency services. The primary endpoint was the a priori estimated pain score for 10 procedures performed frequently by accident and emergency services. The same estimation was performed with the 'willingness to pay' method (amount allocated a priori to avoid this pain).ResultsFifty surveys were analyzed in each group, with a significant difference for pain perception between caregivers and patients concerning four procedures: local anesthesia, fracture or dislocation reduction, dressing change and abscess incision. Caregivers always overestimated pain scores compared with patients. No difference was noted for the remaining five procedures: intravenous line insertion and removal, urethral catheterization, wound suture and nasogastric intubation.ConclusionCaregivers should be aware of the most feared procedures by patients to establish pre-emptive analgesia when possible, inform patients and achieve reassurance.

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