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Papers of the Week

2021 May 25

J Trauma Acute Care Surg

Trends in pre-hospital pain management following the introduction of new clinical practice guidelines.


Vysokovsky M, Avital G, Mahalo Y, Gelikas S, Fridrich L, Radomislensky I, Tsur AM, Glassberg E, Benov A
J Trauma Acute Care Surg. 2021 May 25.
PMID: 34039920.


Early pain treatment following injury has been shown to improve long-term outcomes, while untreated pain can facilitate higher post-traumatic stress disorder (PTSD) rates and worsen outcomes. Nonetheless, trauma casualties frequently receive inadequate analgesia. In June 2013, a new clinical practice guideline (CPG) regarding pain management was introduced in the IDF Medical Corps, recommending oral transmucosal fentanyl citrate (OTFC) and low dose IV/IM ketamine. The purpose of this study is to examine trends in pre-hospital pain management in the IDF.