Prehospital analgesia

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Prehospital analgesia in Ontario.

To the editor: Paramedics in Ontario provide prehospital care under the direction of their base hospital physicians. Most paramedics are certified at the primary care paramedic (PCP) level, and many communities, especially in rural areas, where transport times are longest, are served exclusively by PCPs. Despite having at least 2 years of college education, PCPs are unable to provide patients w...

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Prehospital analgesia: multimodal considerations.

1 Albrecht E, Taffe P, Yesrin B, Schoettker P, Decosterd I, Hugli O. Undertreatment of acute pain (olioanalgesia) and medical practice variation in prehospital analgesia of adult trauma patients: a 10 yr retrospective study. Br J Anaesthesia 2012; 110: 96–106 2 Ricard-Hibon A, Chollet C, Saada S, Loridant B, Marty J. A quality control program for acute pain management in out-of-hospital critica...

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An Evidence-based Guideline for prehospital analgesia in trauma.

BACKGROUND The management of acute traumatic pain is a crucial component of prehospital care and yet the assessment and administration of analgesia is highly variable, frequently suboptimal, and often determined by consensus-based regional protocols. OBJECTIVE To develop an evidence-based guideline (EBG) for the clinical management of acute traumatic pain in adults and children by advanced li...

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A randomized controlled trial of intranasal fentanyl vs intravenous morphine for analgesia in the prehospital setting.

STUDY OBJECTIVE The objective of the study was to compare intranasal fentanyl (INF) with intravenous morphine (IVM) for prehospital analgesia. METHODS This was a randomized, controlled, open-label trial. Consecutive adult patients (n = 258) requiring analgesia (Verbal Rating Score [VRS] >2/10 noncardiac or >5/10 cardiac) were recruited. Patients received INF 180 mug +/- 2 doses of 60 mug at >...

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Rapid analgesia for prehospital hip disruption (RAPID): protocol for feasibility study of randomised controlled trial

BACKGROUND Adequate pain relief at the point of injury and during transport to hospital is a major challenge in all acute traumas, especially for those with hip fractures, whose injuries are difficult to immobilise and whose long-term outcomes may be adversely affected by administration of opiate analgesics. Fascia iliaca compartment block (FICB) is a procedure routinely undertaken by doctors a...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2013

ISSN: 0007-0912

DOI: 10.1093/bja/aet092