Feasibility trial assessing the management of acute pain in children and young people attended by ambulance using the PANDA intervention

Improving Pain mAnagement for childreN and young people attendeD by Ambulance (PANDA): a pragmatic cluster randomised feasibility trial assessing standard care plus the PANDA Intervention versus standard care to reduce pain severity for children and young people attended by paramedics

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN13615304

Enrollment

120

Registered

2026-06-01

Start date

2026-06-01

Completion date

Unknown

Last updated

2026-06-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pain management Signs and Symptoms

Interventions

We will recruit 30 paramedics and randomise them to provide standard care, or standard care plus the PANDA Intervention. The PANDA Intervention aims to change the behaviour of ambulance clinicians b

Eligibility

Sex/Gender

All

Age

0 Years to 100 Years

Inclusion criteria

Inclusion criteria: Paramedics (inclusion criteria to be randomised): 1. Employed by East Midlands Ambulance Service NHS Trust 2. Registered as a paramedic with the Health and Care Professions Council 3. Working full-time 4. Working entirely in a frontline face to face clinical role Children and young people (inclusion criteria for feasibility trial enrolment): 1. Children and young people aged under 18 years of age 2. Suffering acute pain (initial pain score above zero) 3. Attended by an EMAS PANDA Feasibility Trial paramedic 4. The EMAS PANDA Feasibility Trial paramedic had active involvement in the management of the pain Children and young people (inclusion criteria for qualitative interviews): 1. Enrolled in the PANDA Feasibility Trial 2. Aged 4–18 years Children and young people (inclusion criteria for survey follow-up): 1. Enrolled in the PANDA Feasibility Trial 2. Aged 3–18 years Parents/carers (inclusion criteria for qualitative interviews): Aged 16 years and above

Exclusion criteria

Exclusion criteria: Children and young people (exclusion criteria for feasibility trial enrolment): 1. CYP in Young Offender Institutions (YOIs), Secure Training Centres, or Secure Children’s Homes 2. CYP suffering major trauma (as per locally agreed definition) or critical illness, including the following conditions: cardiac arrest, sepsis, seizure, heart attack, stroke, anaphylaxis, life-threatening asthma

Design outcomes

Secondary

Measure	Time frame
There are no secondary outcomes	—

Countries

England, United Kingdom

Contacts

Public ContactResearch Team

researchteam@emas.nhs.uk-

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Jun 21, 2026