Inclusion: Adult with acute non-cancer pain or acute exacerbation of chronic non-cancer pain
Exclusion: Long term care of patients w cancer or chronic non-cancer pain
Level A:
Level B:
Short-acting opioids such as oxycodone or hydrocodone for short term relief of acute musculoskeletal pain
'Level C:
Use of state prescription monitoring program may help identify patients at high risk for prescription opioid diversion or doctor shopping.
For patient being discharge from ED w acute low back pain, EP should ascertain whether non-opioid analgesics and non-pharmacologic therapies will be adequate
Opioids reserved for more severe pain or pain refractory to other analgesics
Unknown benefit of short-acting schedule II over schedule III opioids.
If opioids indicated, prescription for lowest practical dose for limited duration <1 week), and should consider risk for misuse, abuse, or diversion.
Avoid prescribing outpatient opioids for a patient with an acute exacerbation of chronic non-cancer pain.
Honor existing patient-physician pain contracts/treatment agreements and consider past prescription patterns.
Short-acting opioids such as oxycodone or hydrocodone for short term relief of acute musculoskeletal pain
Use of state prescription monitoring program may help identify patients at high risk for prescription opioid diversion or doctor shopping.
For patient being discharge from ED w acute low back pain, EP should ascertain whether non-opioid analgesics and non-pharmacologic therapies will be adequate
Opioids reserved for more severe pain or pain refractory to other analgesics
Unknown benefit of short-acting schedule II over schedule III opioids.
If opioids indicated, prescription for lowest practical dose for limited duration <1 week), and should consider risk for misuse, abuse, or diversion.
Avoid prescribing outpatient opioids for a patient with an acute exacerbation of chronic non-cancer pain.
Honor existing patient-physician pain contracts/treatment agreements and consider past prescription patterns.
ACEP clinical policies
Sign out tools
Reexamination sample documentation
Mass casualty incident triage
STOPP/START criteria
Denver screening criteria
Critical care documentation
Clinical decision rules list