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

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Mattia Soffritti *
Adelina Ricciardelli
Riccardo Ragazzi
Francesco Manca
Savino Occhionorelli
(*) Corresponding Author:
Mattia Soffritti | lucia.zoppi@pagepress.org

Abstract

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.

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Author Biographies

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