• Major Deficiencies in Treatment of Children in Pain in Alberta, Canada, ERs
    In what may be the first study of pain management for children, it has been determined that “Children are at high risk for the undertreatment of pain” either during procedures or in the ER. Not only is better pain management needed, general pain management policies need to be in place. Dr. Samina Ali of the University of Alberta is asking for a call to action for the creation of these policies across Canada. In one pediatric emergency department study, analgesia was provided to only 27% of children even though “pain was documented 60% of the time.” Pain management varied with injury, illness, or procedure, and only one-third of the 72 hospitals surveyed had a policy for triage pain documentation. Less than half had any sort of policy for sedation of children. Due to this lack of a uniform policy for children, parents are their child’s best advocate when it comes to pain management and prevention. The study encourages parents to ask healthcare providers for medications and music, TV, games, even bubble blowing as distractions during procedures. Read the article here.
  • Delirium severity score; obesity and diabetes; shock therapy for chronic calcific shoulder tendinitis – Annals of Internal Medicine
    1. New delirium severity score helps to predict outcomes for hospitalized patientsA new delirium severity score proves accurate for predicting important clinical outcomes in hospitalized... Pain / Anesthetics News From Medical News Today
  • Prominent Drug Diversion Expert Discusses Recent Launch
    In an article published Monday in Pharmacy Times, Commander John Burke, President, National Association of Drug Diversion Investigators, details his experience as a member of the External Safe Use Board convened by manufacturer Zogenix Pharmaceuticals to review and refine programs for the introduction of this new single entity CII hydrocodone product. Commander Burke, who additionally has participated as a member of the PAINWeek faculty for several years, offers the bottom-line conclusion that robust measures are in place to minimize the potential for abuse of Zohydro ER. In his column, Commander Burke offers the view that the ultimate goal of law enforcement and regulators in this arena should be to facilitate access to medications by legitimate pain patients. He observes “Combating diversion and abuse is a move in favor of patients in severe pain, and that also means keeping a drug like Zohydro ER in check as much as is humanly possible. Will Zohydro ER be abused? Of course, but I came away from this valuable meeting strongly feeling that the company is dedicated to responsible prescribing of Zohydro ER.” Reinforcing this conviction, he reports, is the fact that sales force salaries for at least the first year will be based on dissemination of educational materials to prescribers, dispensers and patients, not sales of the drug. Read Commander Burke’s article here.
  • Chinese herbal remedy ‘just as effective as methotrexate against arthritis’
    A Chinese herbal remedy - Triptergium wilfordii Hook F - is just as effective for treating symptoms of rheumatoid arthritis than commonly used drug methotrexate, a study suggests. Pain / Anesthetics News From Medical News Today
Daniel Carr, MD, FABPM
Pain Research, Education, and Policy Program
Department of Public Health and Community Medicine
Tufts Medical Center
Boston, MA


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