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Papers of the Week


2023 Jan 07


Scand J Trauma Resusc Emerg Med


31


1

Oral transmucosal fentanyl citrate analgesia in prehospital trauma care: an observational cohort study.

Authors

Pietsch U, Fischer H, Rüst C A, Hossfeld B, Grünenfelder A, Wenzel V, Albrecht R
Scand J Trauma Resusc Emerg Med. 2023 Jan 07; 31(1):2.
PMID: 36609399.

Abstract

Pain is one of the major prehospital symptoms in trauma patients and requires prompt management. Recent studies have reported insufficient analgesia after prehospital treatment in up to 43% of trauma patients, leaving significant room for improvement. Good evidence exists for prehospital use of oral transmucosal fentanyl citrate (OTFC) in the military setting. We hypothesized that the use of OTFC for trauma patients in remote and challenging environment is feasible, efficient, safe, and might be an alternative to nasal and intravenous applications.