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  • Intravenous analgesia for out-of-hospital traumatic pain in adults: ketamine gives a greater reduction in pain than morphine but causes more adverse effects

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Pain management
Randomised controlled trial
Intravenous analgesia for out-of-hospital traumatic pain in adults: ketamine gives a greater reduction in pain than morphine but causes more adverse effects
  1. William Paul McKay
  1. Department of Anesthesia, University of Saskatchewan, Saskatoon SK, Saskatchewan Canada
  1. Correspondence to: Dr William Paul McKay
    Department of Anesthesia, University of Saskatchewan, 103 Hospital Drive, Saskatoon SK, Saskatchewan, Canada S7N 0W8; bill.mckay{at}usask.ca

https://doi.org/10.1136/eb-2012-100946

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    Commentary on: Jennings PA, Cameron P, Bernard S, et al. Morphine and ketamine is superior to morphine alone for out-of-hospital trauma analgesia: a randomized controlled trial. Ann Emerg Med 2012; 59: 497– 503.OpenUrlCrossRefPubMed

    Implications for practice and research

    • Intravenous ketamine has been shown to be useful for acute pain in a variety of settings.1

    • The present study shows that it provides a greater reduction in pain than morphine but causes more adverse effects in out-of-hospital care.

    Context

    Conscious trauma patients often suffer severe pain. In general, once a head injury has been ruled out, it is safe to give analgesics as promptly as possible.2 Analgesics are often given in the initial out-of-hospital setting, but are often not as effective as they might be. Thus, it is important to …

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    Footnotes

    • Competing interests None.