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Adult nursing
Black patients with long bone fractures considerably less likely than White patients to receive adequate pain relief prehospital: results from a North American study
  1. Ela Ury
  1. Practice Plus Group, Bristol, UK
  1. Correspondence to Ela Ury, Bristol, UK; ela.s.ury92{at}gmail.com

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Commentary on: Crowe RP, Kennel J, Fernandez AR, Burton BA, Wang HE, Van Vleet L, Bourn SS, Myers JB. Racial, Ethnic, and Socioeconomic Disparities in Out-of-Hospital Pain Management for Patients With Long Bone Fractures. Ann Emerg Med. 2023 Nov;825,:535-545. doi: 10.1016/j.annemergmed.2023.03.035. Epub 2023 May 13.

Implications for practice and research

  • Disparities exist in pain management for patients from minority groups. These cannot be fully explained by socioeconomic factors alone.

  • Efforts must be made to address racial bias in pain management practices.

Context

Timely, adequate administration of analgesics by emergency medical services (EMS) can optimise pain levels for patients on arrival to hospital.1 Pain management may be suboptimal for patients transported to hospital by ambulance, particularly for some minority groups.2 Prior studies have demonstrated that Black patients with long bone fractures (humerus, radius, ulna, femur, tibia, fibula) are less likely to receive adequate pain relief in comparison to their White …

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Footnotes

  • Twitter @ela_ury

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.