What is the most appropriate out-of-hospital opioid for adults with traumatic pain?
dc.contributor.author | Ellis, Pierre | |
dc.date.accessioned | 2021-04-27T07:55:24Z | |
dc.date.available | 2021-04-27T07:55:24Z | |
dc.date.issued | 2017-12-06 | |
dc.identifier.citation | Ellis, P. 2017. What is the most appropriate out-of-hospital opioid for adults with traumatic pain? Journal of Paramedic Practice, 9 (12), 528-535. | en_US |
dc.identifier.issn | 1759-1376 | |
dc.identifier.issn | 2041-9457 | |
dc.identifier.doi | 10.12968/jpar.2017.9.12.528 | |
dc.identifier.uri | http://hdl.handle.net/20.500.12417/1080 | |
dc.description.abstract | Methods: The literature search was carried out using multiple databases to identify relevant out-of-hospital research with additional grey literature to support. The main themes encountered were intravenous morphine compared to intravenous fentanyl, and the contrast between them. Discussion: There were no significant differences in effectiveness or adverse effects. Intranasal application was thought to be favoured where intravenous access was unobtainable. Conclusions: Further research is required to establish which is the most appropriate opioid. This could include a greater focus on the onset time, duration and optimal dose. Increased education and organisational focus would need to be addressed alongside a change in drug formulary for the out-of-hospital clinician. Abstract published with permission. | |
dc.language.iso | en | en_US |
dc.subject | Emergency Medical Services | en_US |
dc.subject | Out-of-Hospital | en_US |
dc.subject | Opioids | en_US |
dc.subject | Pain Management | en_US |
dc.subject | Trauma Management | en_US |
dc.title | What is the most appropriate out-of-hospital opioid for adults with traumatic pain? | en_US |
dc.source.journaltitle | Journal of Paramedic Practice | en_US |
rioxxterms.version | NA | en_US |
rioxxterms.licenseref.uri | http://www.rioxx.net/licenses/all-rights-reserved | en_US |
rioxxterms.licenseref.startdate | 2021-02-16 | |
rioxxterms.type | Journal Article/Review | en_US |
refterms.panel | Unspecified | en_US |
refterms.dateFirstOnline | 2017-12-06 | |
html.description.abstract | Methods: The literature search was carried out using multiple databases to identify relevant out-of-hospital research with additional grey literature to support. The main themes encountered were intravenous morphine compared to intravenous fentanyl, and the contrast between them. Discussion: There were no significant differences in effectiveness or adverse effects. Intranasal application was thought to be favoured where intravenous access was unobtainable. Conclusions: Further research is required to establish which is the most appropriate opioid. This could include a greater focus on the onset time, duration and optimal dose. Increased education and organisational focus would need to be addressed alongside a change in drug formulary for the out-of-hospital clinician. Abstract published with permission. | en_US |