Analgesia in adult trauma patients in physician-staffed Austrian helicopter rescue: a 12-year registry analysis.

ABSTRACT:

Background

Sufficient analgesia is an obligation, but oligoanalgesia (NRS> 3) is frequently observed prehospitally. Potent analgesics may cause severe adverse events. Thus, analgesia in the helicopter emergency medical service (HEMS) setting is challenging. Adequacy, efficacy and administration safety of potent analgesics pertaining to injured patients in HEMS were analysed.

Methods

Observational study evaluating data from 14 year-round physician-staffed helicopter bases in Austria in a 12-year timeframe.

Results

Overall, 47,985 (34.3%) patients received analgesics, 26,059 of whom were adult patients, injured and not mechanically ventilated on site. Main drugs administered were opioids (n=20,051; 76.9%), esketamine (n=9082; 34.9%), metamizole (n=798; 3.1%) and NSAIDs

SUBMITTER: Rugg C 

PROVIDER: S-EPMC7852148 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature