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Adult pain scores in the Emergency department: a scoping review protocol

Duffield, E., Keating, L., Wilson, S. and Hollywood, A. ORCID: https://orcid.org/0000-0001-9670-2506 (2025) Adult pain scores in the Emergency department: a scoping review protocol. BMJ Open, 15 (10). e106729. ISSN 2044-6055

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To link to this item DOI: 10.1136/bmjopen-2025-106729

Abstract/Summary

Introduction: Pain is a common complaint in patients presenting to an Emergency Department (ED). Data shows that timely delivery of pain relief in this setting remains a challenge. Adequate treatment of pain requires recognition and assessment. The Royal College of Emergency Medicine (RCEM) advocates for early pain assessment and reassessment post-analgesia, however, it does not specify how best to do this. Therefore a review of existing literature is needed, to identify which pain assessment tools have been shown to be useful in the ED. Methods and analysis: This scoping review will use the Joanna Briggs Institute (JBI) methodology. A search of PubMed, Embase, CINAHL, Web of Science, Scopus and the Cochrane Library will identify relevant studies published in English since January 2004. Studies will be included that recruit adults (aged 18 years and over) presenting to an ED with acute pain (duration under three months). Publications must assess or compare tools for measuring pain in an ED setting. Full-text articles published internationally will be considered. After duplicate removal, abstract screening and full-text analysis by two independent reviewers will identify relevant papers using the inclusion criteria. Discrepancy resolution will be via a third reviewer. Pain measurement tools and their evidence will be extracted, collated and described. The findings will be reported according to PRISMA-ScR. Ethics/dissemination: Ethical approval is not required for this review. Published results will be shared with relevant parties interested in ED pain management. Potential next steps include patient involvement in the evaluation of pain assessment tools identified in this review and implementation into practice. The insights of patients with relevant lived-experience in assessing these tools would be invaluable to the objective of improving pain management in the emergency setting. Registration: This project is registered with the Open Science Framework (OSF), accessible at https://doi.org/10.17605/OSF.IO/ENVPY.

Item Type:Article
Refereed:Yes
Divisions:Interdisciplinary centres and themes > Pain Research
Life Sciences > School of Chemistry, Food and Pharmacy > School of Pharmacy > Pharmacy Practice Research Group
ID Code:125391
Publisher:BMJ Group

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