1147 Prehospital oral trans-mucosal fentanyl citrate: preliminary experience and possible implications for civilian mass casualty response

Conclusions 190 patients were included in the data set, the majority having suffered penetrating trauma. We identified an increased need for rescue analgesia and sedation in blunt trauma patients requiring prolonged extrication or limb reduction. 1% (n=2) of patients presented with nausea requiring withdrawal of the lozenge. No patients had adverse features following use of the OTFC lozenge. Our findings were comparable to previous literature on the use of OTFC lozenges. We argue that the OTFC lozenge has shown to be a safe and rapid method of delivering pre-hospital analgesia during LAA’s routine work. It has the advantage of not requiring intravenous (IV) access and presents a robust option for pre-hospital analgesia during a MCI.
Source: Emergency Medicine Journal - Category: Emergency Medicine Authors: Tags: RCEM Lightning Papers Source Type: research