Titre
A two-year retrospective review of the determinants of pre-hospital analgesia administration by alpine helicopter emergency medical physicians to patients with isolated limb injury.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Auteur(s)
Eidenbenz, D.
Auteure/Auteur
Taffé, P.
Auteure/Auteur
Hugli, O.
Auteure/Auteur
Albrecht, E.
Auteure/Auteur
Pasquier, M.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1365-2044
Statut éditorial
Publié
Date de publication
2016
Volume
71
Numéro
7
Première page
779
Dernière page/numéro d’article
787
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article
Résumé
Up to 75% of pre-hospital trauma patients experience moderate to severe pain but this is often poorly recognised and treated with insufficient analgesia. Using multi-level logistic regression analysis, we aimed to identify the determinants of pre-hospital analgesia administration and choice of analgesic agent in a single helicopter-based emergency medical service, where available analgesic drugs were fentanyl and ketamine. Of the 1156 patients rescued for isolated limb injury, 657 (57%) received analgesia. Mean (SD) initial pain scores (as measured by a numeric rating scale) were 2.8 (1.8), 3.3 (1.6) and 7.4 (2.0) for patients who did not receive, declined, and received analgesia, respectively (p < 0.001). Fentanyl as a single agent, ketamine in combination with fentanyl and ketamine as a single agent were used in 533 (84%), 94 (14%) and 10 (2%) patients, respectively. A high initial on-scene pain score and a presumptive diagnosis of fracture were the main determinants of analgesia administration. Fentanyl was preferred for paediatric patients and ketamine was preferentially administered for severe pain by physicians who had more medical experience or had trained in anaesthesia.
PID Serval
serval:BIB_712CC823CFB1
PMID
Open Access
Oui
Date de création
2016-05-03T15:39:41.950Z
Date de création dans IRIS
2025-05-20T21:29:22Z