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Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery

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Battlefield pain summit 2022: Expert consensus statements.

Thomas R Stark¹, Nathan L Davidson, Jeremy W Cannon

¹From the US Army Institute of Surgical Research (T.R.S., N.L.D., J.D.S., A.P.C.) and the Joint Trauma System (S.A.S.), Joint Base San Antonino, Fort Sam Houston, Texas; Uniformed Services University of the Health Sciences (J.W.C.), Bethesda, Maryland; Perelman School of Medicine, University of Pennsylvania (J.W.C.), Philadelphia, Pennsylvania; and US Army Medical Research and Development Command, Combat Casualty Care Research Program (T.M.P.), Fort Dietrich, Maryland.

The Journal of Trauma and Acute Care Surgery

|June 6, 2022

Summary

This summary is machine-generated.

A battlefield pain summit identified key research priorities for combat casualties. Consensus statements guide future research on analgesics, delivery systems, and training for improved battlefield pain management.

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Area of Science:

Military medicine
Pain management research
Trauma care

Background:

Battlefield pain presents unique challenges due to severe, multiple injuries in combat casualties.
Existing battlefield pain management strategies require distinct research approaches.
A dedicated summit was convened to address knowledge gaps and guide future research.

Purpose of the Study:

To identify shortcomings in current battlefield pain management.
To review the state of battlefield pain research.
To shape the direction of future research in this specialized field.

Main Methods:

A hybrid in-person and virtual meeting was held by the US Army Institute of Surgical Research.
Research priorities were defined for the Combat Casualty Care Research Program's Battlefield Pain portfolio.
A Delphi process refined and rank-ordered preliminary statements from summit participants.

Main Results:

Key focus areas included injury patterns, ketamine and nonopioid analgesics, delivery systems, and training.
Consensus was reached on 7 statements regarding analgesic properties, delivery, performance, and training.
Ketamine was deemed safe and effective for battlefield use; nonopioid analgesic research is a high priority.

Conclusions:

The 7 consensus statements provide a template for near-term research priorities.
Future research will focus on military-specific battlefield pain management.
The summit successfully outlined a strategic direction for advancing battlefield pain research.