Actualisation 2007 de la IIIe Conférence de consensus en médecine d'urgence (Créteil, avril 1993)Â : le traitement médicamenteux de la douleur de l'adulte dans le cadre de l'urgence

A questionnaire was posted on the SFMU website from February 15 through April 15 2007 in order to assess the impact of the 1993 Consensus Conference. Four hundred and seventy-three questionnaires were available for study. Among the main findings, it was noted that most of the emergency physicians had a mixed activity, with a predominance of the adult population. Numeric and analogue scales were widely used. Dolopus and the Edin scale were not employed. Sixty-two percent of persons interrogated used the unit protocol. Seventy-two percent of the interrogated persons had an initial dose of morphine then titration with repeated boluses. Management of adults with pain thus appears to be in compliance with the guidelines. An analysis of the literature, using Medline, Cochrane and ScienceDirect® was based on decreasing level of proof. As for the preceding updates, the articles were classified as follows: randomized controlled studies, practical guidelines, meta-analysis, review articles. Data concerning medication used in the emergency setting for pain relief were selected.