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Area of Science:

  • Prehospital emergency medicine
  • Pain management
  • Pharmacology

Background:

  • Effective pain management is crucial in prehospital trauma care.
  • Paramedics in Switzerland utilize a diverse range of analgesics.
  • Methoxyflurane, an inhaled analgesic, was recently introduced in Switzerland.

Purpose of the Study:

  • To evaluate the efficacy of methoxyflurane in reducing pain in trauma patients.
  • To assess paramedic satisfaction with methoxyflurane use in prehospital settings.
  • To describe the impact of methoxyflurane on pain scores and analgesia success.

Main Methods:

  • Retrospective cohort study conducted in a Swiss emergency ambulance service.
  • Included adult trauma patients with pain scores ≥3 on VAS or VNRS.
  • Analyzed pain reduction from initial care to hospital arrival, analgesia success, and staff satisfaction.

Main Results:

  • 263 patients were included between December 2018 and October 2020.
  • Median pain score on arrival was 8, with an overall observed decrease of 4.2 points.
  • Successful analgesia was achieved in nearly 60% of patients, with over 70% of paramedics reporting satisfaction.

Conclusions:

  • Methoxyflurane demonstrates significant pain reduction in prehospital trauma care, comparable to international findings.
  • The medication achieved satisfactory pain relief levels according to paramedics.
  • Methoxyflurane offers an effective option for prehospital pain management, enhancing patient involvement in care.