Smärtskattning vid bröstsmärta en kombinerad empirisk och litteraturstudie inom prehospital sjukvård
Pain ratingChest painPrehospitalPain rating instrumentsSmärtskattningBröstsmärtaPrehospitaltSmärtskattningsinstrument
Aim: The aim of this study was to investigate how VAS (Visual Analogue Scale) is used in the prehospital environment, and describe how patients 40 years and older with acute chest pain describe their pain with help of VAS. Further, to investigate how the literature describes other instruments to evaluate pain. Method: This was a descriptive study and used both literature and empiric material as foundation. The selection consist of the paramedics medical record from one emergency department, 100 men and 100 women with chest pain witch had been transported with ambulance to one hospital in middle of Sweden. A literature review was done in order to see what previous research recommends for pain rating scales.Results: The study showed that 71 (35 %) of 200 individuals pain were rated with VAS according to the guidelines for the ambulance department. The entire selection rated the pain on VAS between 1-10. The group 40-65 years rated their pain relatively high on VAS (3-10), in relation to the group 66-91 years (1-10). The literature does not advocate any special pain rating instrument, but recommend ARS, VRS, NRS and VAS as measures in the prehospital environment.