Decreased Pain in Pediatric Laceration Repair in the Pediatric Emergency Department
Project Description: When pediatric patients enter the emergency department with a laceration the situation can be both stressful for the parent and the child. Pain, fear, and unfamiliar environment can lead to high anxiety which can make treatment challenging. When a child's pain or anxiety is addressed appropriately, it can make clinical performance of laceration repair easier for all involved. There are approaches to interact with children that can minimize the anxiety, decrease the pain, and maximize cooperation. A pain memory can be formed as early as 6 months and it is imperative that clinicians decrease pain as best possible to decrease the formation of pain memories for future encounters. There are techniques such as shifting awareness, pharmacologic adjuncts, using desensitization, which show improvement with procedural pain in pediatrics. We would like to implement several techniques to overall decrease the pain in laceration repair. We have proposed that use of different quality interventions will decrease overall pain in pediatric patients who are undergoing laceration repairs in the pediatric emergency department some examples are the use of comfort holds, buffered lidocaine, distraction techniques, pharmaceutical pain control, and other procedural techniques. We will look at pain management during laceration repairs on patients with lacerations less than 10 cm, and on patients who are then discharged after repair. Excluded patients will include Trauma alerts, and admitted patients, and patients who are sedated for the laceration repair. We will review pain scores measured before the procedure, during the procedure, and after the procedure using FACES WONG Score. We will also look at patient satisfaction scores to be decreased after six months of intervention.
QPI: Cristina, Zeretzke-Bien, (firstname.lastname@example.org)
Collaborators: Henry, Young II, (email@example.com); Brittany, Difabio, (firstname.lastname@example.org)
UF Health Big Aims: Enhance the Patient Experience None
MeSH Keywords: Pediatric Emergency Medicine, Child, Emergency Medicine, Pain, EDUCATION, laceration, child life