What question did this study set out to answer?

To evaluate the analgesic efficacy, incidence of adverse events, and reduction in time to analgesia following autonomous nurse-initiated intravenous morphine in emergency patients awaiting medical evaluation.

September 1, 2002Emergency Medicine Australasia

Nurse‐initiated intravenous morphine in the emergency department: Efficacy, rate of adverse events and impact on time to analgesia

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To evaluate the analgesic efficacy, incidence of adverse events, and reduction in time to analgesia following autonomous nurse-initiated intravenous morphine in emergency patients awaiting medical evaluation.
Conducted a prospective study enrolling a convenience sample of N=349 patients presenting with acute pain over a 12-month period.
Experienced emergency nurses administered titrated intravenous morphine, recording pain scores via a 10.0 cm visual analogue scale alongside physiological adverse events over 60 minutes.
Median pain scores decreased from an initial 8.5 cm to 4.0 cm at 1 hour post-administration.
Median time to narcotic administration was 18 minutes, compared to a median time of 52 minutes to be examined by a physician.
A total of 15 adverse events occurred (10 episodes of hypotension, 5 of oxygen desaturation) requiring no intervention other than supplemental oxygen, with no episodes of bradycardia, bradypnoea, or reduced consciousness.

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Implication

Prospective study demonstrates nurse-initiated intravenous morphine halves pain scores and expedites analgesia in emergency patients, suggesting improved early pain management.

Cite This Study

Fry et al. (2002) studied this question.

synapsesocial.com/papers/6ab0e537582e1e549f365147 https://doi.org/10.1046/j.1442-2026.2002.00339.x

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Implication

Prospective study demonstrates nurse-initiated intravenous morphine halves pain scores and expedites analgesia in emergency patients, suggesting improved early pain management.

Nurse‐initiated intravenous morphine in the emergency department: Efficacy, rate of adverse events and impact on time to analgesia

Key Points

Discussion

Implication

Cite This Study

Nurse‐initiated intravenous morphine in the emergency department: Efficacy, rate of adverse events and impact on time to analgesia

Key Points

Discussion

Implication

Cite This Study

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