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Predictors, barriers and facilitators to effective management of acute pain in children by ambulance services

What are the predictors, barriers and facilitators to effective management of acute pain in children by ambulance services?

What we are doing:

A mixed methods, sequential explanatory study to comprehensively identify all predictors, barriers and facilitators to effective management of acute pain in children by ambulance services. 

This PhD will involve a mixed methods, systematic review, which will inform a cross-sectional data analysis study followed by a qualitative interview study. 

Effective reduction in pain is defined as a pain score reduction of ≥2 out of 10 on the numeric pain rating scale or Wong-Baker faces scale.

Why we are doing it:

Pre-hospital pain management of children is currently inadequate, with many children suffering pain yet receiving no treatment.

In order to address the challenge of pre-hospital pain management in children, we must first comprehensively identify all known predictors, barriers and facilitators. Once identified we can address these systematically to improve pain management in children within the ambulance service.

What the benefits will be:

Without effective pain treatment, children may suffer long-term changes in stress hormone responses and pain perception and are at risk of developing post-traumatic stress disorder.

We aim to reduce this risk to children by informing future pain management studies which aim to improve pre-hospital pain management.

Who we are working with:

This PhD is held at the University of Lincoln and will use clinical data and staff from the East Midlands Ambulance Service NHS Trust.

The PhD supervisory team consists of Professor A Niroshan Siriwardena, Dr Pippa Hemingway and Professor Graham Law.

Contact:

Gregory Whitley, gwhitley@lincoln.ac.uk