Sufentanil Used by Paramedics to Treat Pain in Acute Trauma

Zdravotnicka Zachranna Sluzba Karlovarskeho Kraje, P.O.

Status: Completed

Conditions: Trauma Injury; Pain

Treatments: Other: Sufentanil administered by paramedics after the phone call consultation of medical doctor.; Other: Sufentanil administered by paramedics based on their competency, without consultation of medical doctor.

Study type: Observational

Funder types: Other

Identifiers

NCT04913402

Sufentanil

Details and patient eligibility

About

The new competence of paramedics to administer opioid analgesics in acute trauma patients without presence or phone-call consult with an emergency medical doctor will be assessed in this study.

Full description

The administration and indication of an opioid analgesics is carried by a medical doctor in most European emergency services. However, trips to majority of less serious traumas are realized by ambulances with paramedic crews without a medical doctor present on site. In this study will be assessed the new competence of paramedics to administer opioid analgesics without presence or phone-call consult with an emergency medical doctor.

This study will address the safety and efficacy of sufentanil administered by the paramedics in the field to patients with acute trauma without any consultation with medical doctors.

Enrollment: 158 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• acute trauma with severe pain (VAS/NRS > 4)
• age > 18 years
• conscious patient (GCS = 15; alert in AVPU)
• haemodynamically stable patient (> 100mmHg of systolic blood pressure, > 60/min of heart rate)

Exclusion criteria

• doctor on site
• paediatric patient
• predominantly chronic but not acute pain
• incomplete documentation
• other than traumatic reasons for opioid administration (eg. acute coronary syndrome)

Trial design

158 participants in 2 patient groups

Consultation

Description:

Patient who were administered sufentanil in acute trauma by paramedics after phone call consultation with medical doctor.

Treatment:

Other: Sufentanil administered by paramedics after the phone call consultation of medical doctor.

Competency

Description:

Patient who were administered sufentanil in acute trauma by paramedics with competence to administer sufentanil without any consultation with medical doctor.

Treatment:

Other: Sufentanil administered by paramedics based on their competency, without consultation of medical doctor.