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. 2024 Sep 11;14(4):258–262. doi: 10.1016/j.afjem.2024.08.009

Table 1.

WHO Pain Ladder-based Trauma Pain Management (8).

Pain Assessment Methods Results Action
Mild VAS 1-3 paracetamol, NSAIDs,
cold/hot compresses
Moderate VAS 4-6 cold/hot compresses,
tramadol, pethidine
Severe VAS 7-10 fentanyl,
morphine, ketamine
Reassessment Reassess every 5 minutes if severe pain, otherwise reassess every 3 hours.
Evidence of adverse effects should preclude further drug administration

VAS: Visual Analogue Scale, NSAIDS: Nonsteroidal anti-inflammatory drugs