Use of and attitudes to the role of medication for acute whiplash injury: A preliminary survey of emergency department doctors

Jane Nikles*, Gerben Keijzers, Muthuwahandi Ishan Diluka De Silva, Subaat Khan, Michele Sterling

*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objective: Describe current practice of medication prescribing for acute whiplash-associated disorders (WAD) in the ED and explore attitudes towards pregabalin prescription for WAD. 

Methods: Questionnaire-based survey in two EDs collected data on demographics and self-reported medication prescribing for WAD. Comfort in various scenarios for pregabalin prescribing was rated. 

Results: A total of 145/170 (85%) doctors responded; 42.8% were junior doctors. Self-reported medications prescribed were nonsteroidal anti-inflammatory drug (77.9% [95% confidence interval (CI) 70.1–84.2]), paracetamol (75.2% [95% CI 67.2–81.8]), opioids (43.5% [95% CI 35.3–51.9]) and benzodiazepines (11.0% [95% CI 6.6–17.6]). Most were comfortable to prescribe pregabalin in evidence-based or advised-by-specialists scenarios. 

Conclusions: Opioids appear to be over-prescribed. Further research into pregabalin prescription in ED is warranted.

Original languageEnglish
Pages (from-to)471-474
Number of pages4
JournalEMA - Emergency Medicine Australasia
Volume31
Issue number3
Early online date14 Oct 2018
DOIs
Publication statusPublished - Jun 2019

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