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Patients presenting to the Paediatric Emergency Department.
Medical and nursing staff in the Paediatric Emergency Department.
For example:
|
No Pain |
Mild Pain |
Moderate Pain |
Severe Pain |
Behaviour |
Normal activity |
Rubbing affected area |
Protective of affected area |
No movement or defensive of affected part |
Injury example* |
|
Abrasion/small laceration Ankle sprain |
Small burn/scald |
Displaced limb # # dislocation |
* Example of injury is only intended as a guide – cases should be assessed on an individual basis
If child is being admitted and is likely to need ongoing analgesia for moderate / severe pain, consider contacting pain relief nurse specialist (page 8133/ ext. 86920) or duty anaesthetist (page 8602).
- to be used in conjunction with Emergency Department Pain Management guideline
To be included as part of the first-line treatment of severe pain in a child (without IV access).
For example, in children with pain secondary to:
- Clinically suspected limb fractures
- Painful/distressing burns
- dilute 5mg of diamorphine powder with specific volume of sterile water
Weight (kg) |
Volume of sterile water to be added |
Final dose in mg (in0.2mls) |
10 |
1ml |
1mg |
11 |
0.9ml |
1.11mg |
12 |
0.85ml |
1.18mg |
14 |
0.7ml |
1.43mg |
16 |
0.6ml |
1.67mg |
18 |
0.55ml |
1.82mg |
20 |
0.5ml |
2mg |
25 |
0.4ml |
2.5mg |
30 |
0.35ml |
2.86mg |
35 |
0.3ml |
3.33mg |
40 |
0.25ml |
4mg |
≥50 |
0.2ml |
5mg |
Approved by Drugs and Therapeutics Committee: May 2008
Last reviewed: 01 February 2015
Next review: 13 November 2019
Author(s): Joanne Stirling
Approved By: Clincial Effectiveness