Paediatric pain management with Will Broughton

In this session we will examine some of the prevailing issues and
difficulties of paediatric pain management. To do this I have
Will Broughton, an associate professor of paramedic science at
Buckinghamshire New University, Paramedic with specialist
interest in Paediatric Emergency Medicine and Paramedic
Education. He continues to practice clinically with London
Ambulance Service (LAS) and South Central Ambulance Service
(SCAS).


We will unpack some of the nuances, challenges, and evidenced
based approaches that Will has found from being both a
pre-hospital practitioner and studying his MSc in this domain of
practice. In the conversation we discuss: 


Definitions of pain and what it means to children.

Physiological consequences of pain in paediatrics

Difficulties of pain management in Paediatrics

Pain relief routes available and advocated (NICE)

Pain assessment - Wong and Baker, visual analogue
scales. 

The utility of the FLACC score

Monitoring difficulties and challenges 

Human factors with Pain - Parents, stressful environment

Tx/Pain Mx strategies - NICE, preferences, nuances.

Take homes messages.



Resources that are mentioned in the episode include: 


CRIES pain scale
http://geriatricphysio.yolasite.com/resources/CRIES%20Scale%20for%20Neonatal%20Postoperative%20Pain%20Assessment.pdf


WHO pain ladder
https://professionals.wrha.mb.ca/old/professionals/files/PDTip_AnalgesicLadder.pdf


Children in
painhttps://rcem.ac.uk/wp-content/uploads/2021/11/Pain_in_Children_2017_18_National_Report_Oct_2018.pdf


Wong and Baker faces https://wongbakerfaces.org





I hope you enjoy this episode with a fantastic guest. Will
Broughton can be reached on Twitter at
@WilBroughton