Pain Statistics and pathways

Question 1

What percentage of patients presenting with pain revive opioids?

Answer 1

around 20%

Question 2

What percentage of patients presenting to ED complain of severe pain? What percentage report the max score?

Answer 2

49% serve pain

25% of these report the max score

Question 3

What age group is less lily to receive clinically significant reduction in their pain?

Answer 3

45-69 years old

Question 4

What level of pain in patients is more statistically lily to receive adequate pain reduction?

Answer 4

Moderate and severe much more likely than mild

Question 5

What percentage of patient presenting to ambulance report pain?

Answer 5

Around 1/3

Question 6

What type of pain do patients mostly present with?

Answer 6

Traumatic- 40%
Medical 39%
Cardiac 19%

Question 7

How many patients will receive analgesia prior to hospital?

Answer 7

Around 50%

Question 8

What are some non-pharmacological pain management options?

Answer 8

Behavioural- breathing exercises, relaxation techniques
Cognitive- distraction, hypnosis
Physical- heat/cold, massage, position of comfort

Question 9

What happens if the fast A pain pathway is stimulated?

Answer 9

Simultaneous responses to the muscle fibres and the brain- muscles move away from the pain as a reaction before the brain has to process and respond to the stimuli.

Question 10

What type of stimuli do A pain fibres mostly respond to?

Answer 10

Thermal and pressure/mechanical

Question 11

What type of stimuli invigorates the C pain fibres?

Answer 11

Chemical, mechanical and heat sensory fibres.

Question 12

How does the C pain pathway work?

Answer 12

Slow build up of neurotransmitters over time to create a more delayed and less localised pain response.