Procedural Sedation and Analgesia for Adults With Fractures and Dislocations in the Emergency Department

What this Trial Is About

Researchers are evaluating different sedation and pain relief methods used during treatment of adults with painful fractures and dislocations in the emergency department. The study aims to find out which procedural sedation and analgesia approaches provide the best patient satisfaction and pain control, as well as how these methods impact clinician satisfaction and the occurrence of side effects. This observational study follows guidelines for careful data collection and comparison across several hospitals. Participants will receive one of the usual sedation or analgesia treatments or no analgesia during their emergency care for upper or lower extremity injuries needing painful reduction or casting procedures. Data will be collected about the treatment given, including systemic sedation or regional techniques like nerve or hematoma blocks. Each hospital will gather information on the care given during the reduction or stabilization procedures. During the study, adult patients will report their pain levels and satisfaction before, during, and after the treatment. Researchers will monitor for any side effects, complications, or need for antidotes. The main outcome measured is patient satisfaction immediately after the procedure using a numerical rating scale. Additional outcomes include recalled maximum pain, clinician satisfaction, and adverse events during and after treatment. The data collection period will last six months, involving multiple hospital sites.

Procedural Sedation and Analgesia for Treatment of Adults With Fractures and Dislocations in the Emergency Department