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Managing moderate and severe pain in mountain rescue
John Ellerton1, Mario Milani, Marc Blancher
11 General Practitioner and Medical Officer, Mountain Rescue (England and Wales), Birbeck Medical Group , Penrith, United Kingdom .
High Altitude Medicine & Biology
|March 29, 2014
Summary
Effective prehospital pain management in mountain rescue requires improved assessment and treatment protocols. A strong opioid is recommended for severe pain, alongside multimodal approaches and specialized training for rescuers.
Area of Science:
- Emergency Medicine
- Mountain Rescue Medicine
- Pain Management
Background:
- Inadequate recognition, assessment, and treatment of pain are common in prehospital settings.
- Mountain rescue services require specific strategies for effective pain management.
Purpose of the Study:
- To outline evidence-based prehospital analgesia options.
- To provide practical guidance for healthcare providers in mountain rescue environments.
Main Methods:
- A comprehensive literature search was conducted.
- Recommendations were developed through author discussions and scenario analysis.
- The final article was approved by the International Commission for Mountain Emergency Medicine (ICAR MEDCOM).
Main Results:
- Implementation of pain assessment scales and treatment protocols is crucial.
- Specialized training is essential for all mountain rescuers involved in pain management.
- A range of analgesics and delivery methods are necessary, with a core strong opioid recommended for moderate to severe pain.
Conclusions:
- Developing a tailored 'analgesic module' for mountain rescue is advised.
- Minimizing drug selection and utilizing multi-delivery options enhance efficacy.
- A multimodal approach can provide additional benefits in pain management.
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