Sufentanil Used by Paramedics to Treat Pain in Acute Trauma

NCT ID: NCT04913402

Last Updated: 2021-06-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

158 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-09-14

Study Completion Date

2021-05-15

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Trauma Injury Pain

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Consultation

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

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

Intervention Type OTHER

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

Competency

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

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

Intervention Type OTHER

Administration of sufentanil to patients with acute injury by paramedics with competency to administer sufentanil without medical doctor consultation.

Interventions

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

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

Intervention Type OTHER

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

Administration of sufentanil to patients with acute injury by paramedics with competency to administer sufentanil without medical doctor consultation.

Intervention Type OTHER

Eligibility Criteria

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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)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Charles University, Czech Republic

OTHER

Sponsor Role collaborator

Zdravotnicka Zachranna Sluzba Karlovarskeho Kraje, P.O.

OTHER

Sponsor Role lead

Responsible Party

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Roman Sýkora, MD, Ph.D.

Research coordinator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Roman SYKORA, PhD

Role: PRINCIPAL_INVESTIGATOR

Emergency Medical Service of Karlovy Vary Region, Czech Republic

Locations

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Zdravotnická záchranná služba Karlovarského kraje, p.o.

Karlovy Vary, Karlovarský kraj, Czechia

Site Status

Countries

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Czechia

References

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Gnirke A, Beckers SK, Gort S, Sommer A, Schroder H, Rossaint R, Felzen M. [Analgesia in the emergency medical service: comparison between tele-emergency physician and call back procedure with respect to application safety, effectiveness and tolerance]. Anaesthesist. 2019 Oct;68(10):665-675. doi: 10.1007/s00101-019-00661-0. Epub 2019 Sep 5. German.

Reference Type BACKGROUND
PMID: 31489458 (View on PubMed)

Scharonow M, Alberding T, Oltmanns W, Weilbach C. Project for the introduction of prehospital analgesia with fentanyl and morphine administered by specially trained paramedics in a rural service area in Germany. J Pain Res. 2017 Nov 6;10:2595-2599. doi: 10.2147/JPR.S151077. eCollection 2017.

Reference Type RESULT
PMID: 29158691 (View on PubMed)

Related Links

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http://www.zzskvk.cz

website of Emergency Medical Service of Karlovy Vary Region

Other Identifiers

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Sufentanil

Identifier Type: -

Identifier Source: org_study_id

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