• Michal S Maimon, Linda Marques, and Ran D Goldman.
• Pediatric Research in Emergency Therapeutics Program, Divisions of Pediatric Emergency Medicine and Clinical Pharmacology and Toxicology, The Hospital for Sick Children, Department of Pediatrics, University of Toronto, Toronto, Ontario, Canada.
• Pediatr Emerg Care. 2007 Apr 1;23(4):223-6.

ObjectiveTo document parental administration of analgesic medication to children with pain from acute limb injury before coming to the emergency department (ED).MethodsResearch assistants interviewed parents of children 0 to 18 years old who presented to the ED with acute limb injury, asking about analgesic use before arriving to the ED. Parents were also asked for personal and demographic information. Parents who did not give pharmacological analgesia were asked why they decided not to administer medications. All parents were asked if they will administer analgesia in the future.ResultsA total of 72% of parents administered analgesia (pharmacological or others) to their children. Only 28% of the children received pharmacological analgesics before arriving to the ED. Child's mean age was higher for the group receiving medications, compared with those not receiving medications (99 +/- 50 vs 122 +/- 52 months, respectively; P = 0.005). The main parental concern about analgesic use was of potential masking of the clinical signs and symptoms before being seen by a physician.ConclusionsPrehospital analgesic administration by parents is mainly nonpharmacological largely because of parental concern of interference with medical assessment or underestimating the child's pain. Parental concern of masking symptoms and parental perception of no pain in a child were significant factors in determining parental comfort level in using pharmacological analgesics.

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