PAIN TREATMENT IN THE PRACTICE OF PARAMEDICS

N. Gospodarczyk, A. Gospodarczyk, K. Marczewski, Michał Widuch
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Abstract

The feeling of pain accompanies a significant proportion of Medical Emergency Teams (METs) and emergency depart¬ment patients, especially those with trauma. Modern medicine focuses on combating this unpleasant sensation, as it can negatively affect the patient’s condition. Paramedics, who are the first on the scene, in today’s emergency care system work in primary teams, i.e. without a doctor, so it is their responsibility to implement appropriate pharmacotherapy. Assessment and treatment of pain in the pre-hospital care setting are among the key aspects of the role of paramedics. In view of the scarcity of diagnostic tools, decisions are made on the basis of simple clinical tests, so the knowledge and experience of medical personnel seem to be paramount here. It is important to keep in mind the current state of the pa¬tient, as well as potential disorders that may occur during transport to the hospital. Massive injuries to organs, multiple areas of the body, as well as an advanced stage of disease, require the administration of strong analgesics. The use of appropriate analgesia in the prehospital setting, significantly improves the patient’s comfort and often contributes to a huge improvement in the clinical condition. Undertaking pain management from an ethical and moral point of view is one of the essential tasks of medical personnel, and also demonstrates commitment and professionalism.
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护理人员治疗疼痛的实践
疼痛的感觉伴随着医疗急救队(METs)和急诊科病人的很大一部分,特别是那些创伤。现代医学致力于对抗这种不愉快的感觉,因为它会对患者的病情产生负面影响。护理人员是第一个到达现场的人,在今天的紧急护理系统中,他们在初级团队中工作,也就是说,没有医生,所以他们有责任实施适当的药物治疗。院前护理环境中疼痛的评估和治疗是护理人员作用的关键方面之一。由于缺乏诊断工具,决定是根据简单的临床试验作出的,因此医务人员的知识和经验似乎在这里至关重要。重要的是要记住病人的当前状态,以及在送往医院的过程中可能发生的潜在疾病。器官、身体多个部位的严重损伤,以及疾病的晚期,都需要使用强效镇痛药。在院前使用适当的镇痛药,可显著改善患者的舒适度,并往往有助于临床状况的巨大改善。从伦理和道德的角度进行疼痛管理是医务人员的基本任务之一,也体现了承诺和专业精神。
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