This thesis addresses the problems of early and initial pain management in trauma patients in (prehospital) emergency care. Injury and accidents at home leading to acute pain, can be the personal experience of many of us. Although ambulance personnel (further referred to as paramedics) and emergency nurses are often the first contacts for trauma patients in pain, all members of the trauma team are responsible for adequate pain management. Therefore, early and initial pain management in this thesis concerns ambulance personnel, emergency nurses and physicians, and (orthopaedic) trauma surgeons in emergency care.
The topics in this thesis are reflected upon from a nursing perspective, which can be considered to be unique in a multidisciplinary team approach. Nurses, contrary to doctors, are focused on maintaining health and the care of patients, rather than on the cure of injuries or diseases. It therefore offers an additional input towards pain management during a decision making process of professionals for a person in pain.