Children very often present to the emergency department with pain; in fact 50-80% of children have pain as a component of their chief complaint. Our job in the emergency department includes the appropriate assessment and treatment of their pain, while determining the source of their symptoms, and its management. Further, when these children go home from the emergency department, they require direction on how best to manage the continued pain.



Bottom Line Recommendations

Dosing Chart: Analgesic starting dosages for children


World Health Organization

Analgesic starting doses for children.

Chart: WHO pain wall chart for waiting rooms


World Health Organization

Is your child in pain? The doctor can help. As for pain treatment!

Reference Guide and Poster: The recognition and assessment of acute pain in children: Quick reference guide and poster


Royal College of Nursing

The guideline identifies reliable and valid measures of pain intensity (pain measurement scales and other tools) appropriate for neonates, preverbal infants and verbal children, and makes a series of key recommendations regarding timing and triggers for formal pain assessment. The updated guideline also includes an additional section on assessing pain in children with cognitive impairments.

Measurement Tool: Faces Pain Scale - Revised for children 4 years of age and older


International Association for the Study of Pain

Scores are from the left to the right (for the child): 0, 2, 4, 6, 8, 10 (0 for no pain at all and 10 for very, very much in pain).