This episode of CRACKCast covers Chapter 3 in Rosen’s Emergency Medicine (9th Ed.) – Pain Management. This podcast will give you a solid approach to the basics pain management to use on your next shift!

Core Questions:

1. Define the following terms (Box 3.1):

2. Allodynia

3. Amnesia/amnestic
4. Local anesthesia
5. Analgesia
6. Hypnotic
7. Narcotic
8. Nociceptor
9. Noxious stimulus
10. Opiate
11. Opioid
12. Pain
13. Procedural Sedation

14. Sedative

15. Describe a practical approach to stepwise management of pain in the ED.

16. Describe the adult parenteral and oral doses for:

17. Morphine

18. Hydromorphone

19. Fentanyl

20. Differentiate between opioid side effects and opioid toxicity.

21. How do you manage opioid toxicity?

22. Describe relative safety profiles for the NSAIDS.

23. List the classes of local anesthetics. How do they work?

24. List the toxic doses for each local anesthetic:

25. Lidocaine

26. Lidocaine with Epi

27. Bupivicaine

28. List 5 techniques to reduce pain of injection of local anesthetic.

29. List agents that can be used for topical anesthesia of:

30. Intact skin

31. Mucous membranes
32. Open skin/lacerations

Wisecracks:

1. What agent can be used as a substitute in cases of anaphylaxis to local anesthetic?

2. Why should you avoid use of the following agents:

3. Tramadol

4. Demerol

5. How does local anesthetic toxicity present?