TY - JOUR PY - 2019// TI - Use of and attitudes to the role of medication for acute whiplash injury: a preliminary survey of emergency department doctors JO - Emergency medicine Australasia A1 - Nikles, Jane A1 - Keijzers, Gerben A1 - De Silva, Muthuwahandi Ishan Diluka A1 - Khan, Subaat A1 - Sterling, Michele SP - 471 EP - 474 VL - 31 IS - 3 N2 - 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.

© 2018 Australasian College for Emergency Medicine.

Language: en

LA - en SN - 1742-6731 UR - http://dx.doi.org/10.1111/1742-6723.13190 ID - ref1 ER -