The study investigates acute pain in adult patients treated by emergency medical services and evaluates how effective and safe pain treatment initiated during routine prehospital care is under real-world conditions.
Conditions
Interventions
Group 1: Adult emergency patients (=18 years) in the Offenbach district EMS system for whom, during routine care, paramedics initially initiated intravenous analgesia with morphine or paracetamol. No
treatment follows standard routine care.
Sponsors
HSD Hochschule Döpfer University of Applied Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Mission within the routine EMS system in the Offenbach district EMS area Acute pain requiring pain treatment Patient consent to receive pain treatment Initial start of intravenous pain treatment by paramedics with morphine or paracetamol
Exclusion criteria
Exclusion criteria: Initial pain treatment provided by an emergency physician (subsequent physician attendance is not an exclusion but will be documented) Missing pain ratings on the numeric pain rating scale (0–10) Presence of a contraindication to the administered drug
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain reduction (?NRS, 0–10) between start of analgesia (first administration of morphine or paracetamol) and clinical handover. Assessment: NRS values documented by the EMS crew as part of routine care; anonymised capture of both NRS time points post-mission via a standardised online questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| Safety: Occurrence, type and frequency of adverse events up to clinical handover (e.g., nausea/vomiting, reduced level of consciousness/sedation, hypotension, decrease in oxygen saturation, bradycardia/tachycardia) and any required countermeasures. Assessment: Events, vital signs and actions are documented during routine care and anonymised post-mission via the standardised online questionnaire. | — |
Countries
Germany
Contacts
Public ContactThomas Hofmann
HSD Hochschule Döpfer University of Applied Sciences
Outcome results
None listed