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Morphine versus Ketamine for traumatic pain in the prehospital setting

Completed
Conditions
Moderate to Severe traumatic Pain
Musculoskeletal - Other muscular and skeletal disorders
Injuries and Accidents - Fractures
Registration Number
ACTRN12607000441415
Lead Sponsor
Prof. Peter Cameron
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
250
Inclusion Criteria

Attended by participating ambulance crew
Patient conscious (GCS=15), speaking and able to rate their pain using the Verbal Numerical Rating Scale (VNRS) Moderate to Severe pain due to trauma defined as VNRS of 5 or greater.

Exclusion Criteria

Known allergy to ketamine hydrochloride or morphine sulphate
Pregnant or lactating women
Ischameic chest pain, acute pulmonary oedema and/or severe hypertension (Systolic Blood Pressure>180 mmHg)
Head injury with a history of loss of consciousness or Glasgow Coma Scale<15
Inability to obtain venous access
Presumed intoxication with alcohol or illicit substances

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change in pain Verbal Numeric Rating Scale (VNRS)[On arrival at a receiving hospital Emergency Department]
Secondary Outcome Measures
NameTimeMethod
Chronic pain / functionality score[At 6 months];Incidence of adverse events, such as excessive sedation, blood pressure changes, arrhythmias, nause and vomiting[Until arrival at a receiving Emergency Department];Total dose of opioid required for pain relief[On arrival at a receiving hospital Emergency Department]
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