Efficacy of a sedo-analgesia protocol in pre-hospital trauma treatment


Submitted: 17 February 2013
Accepted: 17 February 2013
Published: 10 June 2010
Abstract Views: 1428
PDF: 1360
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Authors

  • Mattia Soffritti Medicina d’Urgenza, MO Centrale Operativa 118 ed Emergenza Territoriale. Azienda Ospedaliera Universitaria Sant’Anna, Ferrara, .
  • Adelina Ricciardelli Medicina d’Urgenza, MO Centrale Operativa 118 ed Emergenza Territoriale. Azienda Ospedaliera Universitaria Sant’Anna, Ferrara, .
  • Riccardo Ragazzi Dipartimento di Scienze Chirurgiche, Anestesiologiche e Radiologiche, Sezione di Anestesiologia e Rianimazione, Azienda Ospedaliera Universitaria Sant’Anna, Ferrara, .
  • Francesco Manca Dipartimento Emergenza-Urgenza, UO Rianimazione II, Azienda Ospedaliera Sant’Anna, Como, .
  • Savino Occhionorelli Dipartimento di Scienze Chirurgiche, Anestesiologiche e Radiologiche, Sezione di Clinica Chirurgica, Azienda Ospedaliera Universitaria Sant’Anna, Ferrara, .
Pre-hospital trauma treatment is an important situation in which pain should be appropriately assessed and treated, but there is a great lack of studies about it. Literature has widely pointed out that the underanalgesia problem is spread to all groups of patients. The objective of the study is to verify the efficacy of a sedation-analgesia protocol based on the use of NSAIDs, Fentanyl and Midazolam, for prehospital treatment of trauma patients. The protocol was tested in three Emergency Medical Services for a four month period, in which 30 patients were included in the study. Results evidenced a good management of both pain and anxiety in the majority of patients treated, with the achievement of analgesia target in 80% of the patients and sedation target in 100% of the patients.

Mattia Soffritti, Medicina d’Urgenza, MO Centrale Operativa 118 ed Emergenza Territoriale. Azienda Ospedaliera Universitaria Sant’Anna, Ferrara
Adelina Ricciardelli, Medicina d’Urgenza, MO Centrale Operativa 118 ed Emergenza Territoriale. Azienda Ospedaliera Universitaria Sant’Anna, Ferrara
Riccardo Ragazzi, Dipartimento di Scienze Chirurgiche, Anestesiologiche e Radiologiche, Sezione di Anestesiologia e Rianimazione, Azienda Ospedaliera Universitaria Sant’Anna, Ferrara
Francesco Manca, Dipartimento Emergenza-Urgenza, UO Rianimazione II, Azienda Ospedaliera Sant’Anna, Como
Savino Occhionorelli, Dipartimento di Scienze Chirurgiche, Anestesiologiche e Radiologiche, Sezione di Clinica Chirurgica, Azienda Ospedaliera Universitaria Sant’Anna, Ferrara
Soffritti, M., Ricciardelli, A., Ragazzi, R., Manca, F., & Occhionorelli, S. (2010). Efficacy of a sedo-analgesia protocol in pre-hospital trauma treatment. Emergency Care Journal, 6(2), 40–44. https://doi.org/10.4081/ecj.2010.2.40

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