• Login
    View Item 
    •   Home
    • North East Ambulance Service [NEAS]
    • Publications - North East Ambulance Service
    • View Item
    •   Home
    • North East Ambulance Service [NEAS]
    • Publications - North East Ambulance Service
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of amberCommunitiesPublication DateAuthorsTitlesSubjectsJournal TitleThis CollectionPublication DateAuthorsTitlesSubjectsJournal TitleProfilesView

    My Account

    LoginRegister

    About amber

    About amberGeneral Policies Terms of DepositSuggest an addition to amberamber Advisory Note

    Statistics

    Display statistics

    Intravenous versus oral paracetamol in a UK ambulance service: a case control study

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Average rating
     
       votes
    Cast your vote
    You can rate an item by clicking the amount of stars they wish to award to this item. When enough users have cast their vote on this item, the average rating will also be shown.
    Star rating
     
    Your vote was cast
    Thank you for your feedback
    Author
    Charlton, Karl cc
    Limmer, Matthew
    Moore, Hayley
    Keyword
    Analgesia
    Emergency Medical Services
    Pain Management
    Pain
    Acetaminophen
    Journal title
    British Paramedic Journal
    
    Metadata
    Show full item record
    URI
    http://hdl.handle.net/20.500.12417/823
    DOI
    https://doi.org/10.29045/14784726.2020.06.5.1.1
    Abstract
    Abstract published with permission Objectives: To determine the effectiveness of intravenous versus oral paracetamol (acetaminophen) in the management of acute pain in the out-of-hospital setting. Methods: We extracted ambulance electronic patient care records for all patients who received 1 g intravenous paracetamol throughout January 2019, and case matched these by sex and age with consecutive patients who received 1 g oral paracetamol over the same time period. Eligible for inclusion were all patients aged ≥ 18 who received 1 g paracetamol for acute pain and who were transported to the emergency department (ED). The primary outcome was the mean reduction in pain score using the numeric rating scale (NRS), with a reduction of 2 or more accepted as clinically significant. Results: 80 care records were eligible for analysis; 40 patients received intravenous and 40 patients received oral paracetamol. The mean age of both groups was 54 years (± 3 years) and 67.5% (n = 54) were female. Patients receiving intravenous paracetamol had a clinically significant mean (SD) improved pain score compared to those receiving oral paracetamol, 2.02 (1.64) versus 0.75 (1.76), respectively [p = 0.0013]. 13/40 (32.5%) patients who received intravenous paracetamol saw an improved pain score of ≥ 2 compared to 8/40 (20%) who received oral paracetamol. No patients received additional analgesia or reported any adverse symptoms. Abdominal pain, infection and trauma were the most common causes of pain in both groups. Conclusion: Our study suggests that intravenous paracetamol is more effective than oral paracetamol when managing acute pain in the out-of-hospital setting. Our findings support further investigation of the role of paracetamol in paramedic practice using more robust methods.
    ae974a485f413a2113503eed53cd6c53
    https://doi.org/10.29045/14784726.2020.06.5.1.1
    Scopus Count
    Collections
    Publications - North East Ambulance Service

    entitlement

     

    DSpace software (copyright © 2002 - 2022)  DuraSpace
    Quick Guide | Contact Us
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.