Acute Pain Due to Trauma, Analgesia
Conditions
Brief summary
Prehospital treatment of acute traumatic pain is common in military practice. Analgesics are usually administered intravenously (IV). Research from the civil prehospital environment shows that obtaining IV access can be difficult and time consuming, delaying onset of treatment. The challenges for obtaining IV access in the military prehospital setting are even bigger, for example in combat environments. However, this has not been assessed. Current guidelines also offer alternative routes of administration for analgesics, for example intranasal (IN) administration. IN administration is a fast, easy and effective route of administration. This study determines whether IN administration of analgesia is faster and leads to increased healthcare provider satisfaction compared to IV administration in patients with acute traumatic pain in a simulated military prehospital environment.
Interventions
Analgesia is administered intravenously.
OTHERIntranasal administration
Analgesia is administered intranasally using an atomizer.
Sponsors
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* All navy healthcare personnel attending (simulation) training on prehospital trauma care.
Exclusion criteria
none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time required for administration of analgesic (minutes) | During simulation training (expected <5 minutes) | Time interval starts when healthcare provider grabs the first required item (e.g. tourniquet, nasal atomizer, ampoule) from the medicine bag. Time interval ends upon completed administration of analgesic. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Total time spent on scene (minutes) | During simulation training (expected <10 minutes) | Time interval starts when healthcare provider arrives at the patient. Time interval ends when analgesia has been administered and used materials have been disposed. |
| Time required for obtaining IV access | During simulation training (expected <5 minutes) | Time interval starts when healthcare provider grabs the first required item (e.g. tourniquet or alcohol wipe) from the medicine bag. Time interval ends when the IV catheter has been taped or flushed (whichever comes last). |
| Time required preparing IN administration | During simulation training (expected <0.5 minute) | Time interval starts when healthcare provider grabs the nasal atomizer. Time interval ends when the nasal atomizer has been placed on the syringe. |
| Satisfaction of the navy nurse regarding the used route of administration. | Directly after completion of simulation training | This is rated on a 0-10 Likert scale, where 0 represents extremely unsatisfactory and 10 represents extremily satisfactory |
Countries
Netherlands
Outcome results
None listed