The implementation of analgesia facilitates the management of the patient. Pain relief should be a part of the therapeutic priorities in emergencies departments.
To demonstrate the value of early and systematic pain management with oral Paracetamol in emergencydepartement.
In this prospective observational study, one gram of oral paracetamol was administered to 500 consultants at the emergency department of Farhat Hached University Hospital in Sousse, Tunisia. An evaluation of the pain at 0, 30, 60 and 120 minutes was performed by the visual analog scale.
During the observation period 433 patients (86.6 %) experienced a decrease in pain. A favorable pain outcome was observed in 415 patients (83%). No signi!cant di"erence in pain pattern was found for the reason for consultation. Diagnostic concordance was greater than 95% for most consultation reasons except for chest pain.
Early systematic analgesia with oral paracetamol reduces pain with favorable change in pain in 83% of patients. is favorable development is correlated with the young age and the delay between the onset of pain and consultation. Early Analgesia in triage does not interfere with diagnosis.
KEYWORDS : Analgesia ; Paracetamol ; Triage ; Emergency department