Table 3

Aspects covered in local guidelines/policies for each site, n=38

Hospital type and patient groups seen in ED	Trauma centre or trauma unit	Annual attendances	No of guideline documents on paediatric pain management	No of pages in guideline documents	Current policy/guideline support best practice in pain management	Guidelines in line with RCEM	Which items are covered by your policy/guideline:
Hospital type and patient groups seen in ED	Trauma centre or trauma unit	Annual attendances	No of guideline documents on paediatric pain management	No of pages in guideline documents		Guidelines in line with RCEM	Use of pain scales	Standardised pain ladder	Frequency of pain assessment	Preferred analgesia for specific conditions	Dosages for different ages groups	Contradictions to specific analgesic agents	Non-pharmacological management of pain	Referral process based on pain score	Opioid analgesia—monitoring vital signs	Opioid analgesia—monitor levels of sedation	Opioid analgesia—discharge criteria
TerC- Mixed	No	<15 K	5	17
DGH- Mixed	TU	<15 K	2	17
DGH- Mixed	TC	<15 K	0	0
DGH- Mixed	TU	<15 K	2	2
TerC- Mixed	TC	15–24.99 K	2	6
TerC- Paed	TU	15–24.99 K	4	78
TerC- Mixed	TC	15–24.99 K	2	21
DGH- Mixed	TU	15–24.99 K	1	1
DGH- Mixed	TU	15–24.99 K	3	8
TerC- Mixed	TC	15–24.99 K	0	0
DGH- Mixed	TU	15–24.99 K	1	11
TerC- Mixed	TC	25–34.99 K	2	24
TerC- Mixed	No	25–34.99 K	0	0
TerC- Mixed	TC	25–34.99 K	1	6
TerC- Mixed	TC	25–34.99 K	4	9
TerC- Mixed	TC	25–34.99 K	1	6
DGH- Mixed	No	25–34.99 K	4	12
DGH- Mixed	No	25–34.99 K	1	25
DGH- Mixed	TU	25–34.99 K	2	7
DGH- Paed	TU	25–34.99 K	0	0
TerC- Mixed	TC	25–34.99 K	3	29
DGH- Mixed	TU	25–34.99 K	1	8
DGH- Mixed	TU	25–34.99 K	3	27
TerC- Mixed	TC	35–49.99 K	1	4
TerC- Paed	TC	35–49.99 K	3	87
TerC- Mixed	TU	35–49.99 K	0	0
TerC- Paed	TC	35–49.99 K	6	134
TerC- Paed	TC	35–49.99 K	0	0
DGH- Mixed	TU	35–49.99 K	3	21
TerC- Paed	TC	35–49.99 K	4	12
TerC- Mixed	TC	35–49.99 K	2	2
TerC- Paed	No	35–49.99 K	5	11
TerC- Paed	TC	≥50 K	2	6
TerC- Paed	TC	≥50 K	3	28
TerC- Mixed	TC	≥50 K	0	0
TerC- Paed	No	≥50 K	5	26
TerC- Paed	TC	≥50 K	0	0
TerC- Paed	TC	≥50 K	3	23

Not covered in guidelines, Unknown if in guidelines, Covered in guidelines.
DGH, District General Hospital; ED, emergency department; K, 1000; Mixed, Mixed Adult and Paediatric Hospital; Paed, Paediatric Hospital; RCEM, Royal College of Emergency Medicine; TC, trauma centre; TerC, tertiary centre; TU, trauma unit.