Wounds, particularly burns and abrasions, can be painful. Patients should be instructed about the potential for pain and measures to help control it. The need for analgesics should also be considered for every wound patient. Narcotic analgesics, particularly hydrocodone and oxycodone, may be necessary. Studies have consistently found that ED patients are often untreated with analgesics for acute, painful injuries while in the ED and upon discharge. Patients who do receive appropriate analgesics upon discharge report greater satisfaction with overall care. 5 The pain from wounds decreases during the first 48 h and narcotic analgesics are not usually required beyond that time.
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