RecruitingNCT06514469

Safety and Efficacy of Sufentanil Administration by Paramedics in Acute Trauma

Safety and Efficacy of Sufentanil Administration by Paramedics in Acute Trauma in Prehospital Setting: Observational Study


Sponsor

Zdravotnicka Zachranna Sluzba Karlovarskeho Kraje, P.O.

Enrollment

300 participants

Start Date

Jul 1, 2024

Study Type

OBSERVATIONAL

Conditions

Summary

The safety and efficacy of competence of paramedics to administer sufentanil intravenously in adult acute trauma patients without presence or without phone-call consult with an emergency medical doctor will be assessed in this observational study. Condition or disease: pain in trauma or injury. Intervention/treatment: sufentanil administered by paramedics after the phone call consultation of medical doctor versus sufentanil administered by paramedics based on their competency, without consultation of medical doctor.


Eligibility

Min Age: 18 Years

Inclusion Criteria4

  • 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 Criteria5

  • EMS doctor on site
  • paediatric patient (less than 18 years)
  • predominantly chronic but not acute pain
  • incomplete documentation
  • other than traumatic reasons for opioid administration (eg. acute coronary syndrome)

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Interventions

DRUGSufentanil intravenous administration followed consultation of remote physician

Intravenous administration of sufentanil to patients with acute injury by paramedics only after phone-call consultation of medical doctor.

DRUGSufentanil intravenous administration based on paramedic competency

Intravenous administration of sufentanil to patients with acute injury by paramedics based on their competencies


Locations(1)

Zdravotnická záchranná služba Karlovarského kraje, příspěvková organizace

Karlovy Vary, Karlovy Vary Region, Czechia

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