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Commentary on: Chang AK, Bijur PE, Esses D, et al. Effect of a single dose or oral opioid and non-opioid analgesics on acute extremity pain in the emergency department: a randomised controlled clinical trial. JAMA 2017;318:1661–7.
Implications for practice and research
In some emergency department patients, combinations of non-opioid analgesia may be as effective in reducing pain as opioids.
Using non-opioid analgesia as a first-line treatment in short-term moderate to severe trauma pain might contribute to reducing long-term dependence on opioids.
Further research into dosing, adverse events, patient satisfaction and analgesia combinations in other patient groups is required.
Opioid analgesics are the first-line treatment for moderate to severe pain in the emergency department (ED) despite …
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