Pain Relief
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- Category: Science
- Date Submitted: 12/05/2011 10:27 AM
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Coventry University
Faculty of Health and Life Sciences
Diploma HE Paramedic Science
January 2011 Cohort
Module 227PM
Paramedic Skills Development Across the Age Spectrum
Student number 3787258
Fentanyl Verses Morphine Sulphate in A Road Traffic Collision
Set Word Limit:2000
Word Count:2188
Submission Date:31/05/2011
The number of reported road accident casualties in Great Britain in 2009 were a total of 222,146 reported casualties of all severities, 4 per cent lower than in 2008. 2,222 people were killed, 12 per cent lower than in 2008, 24,690 were seriously injured (down 5 per cent) and 195,234 were slightly injured (down 4 per cent). The number of fatalities fell for almost all types of road user, with a fall of 16 per cent for car occupants, 13 per cent for pedestrians, 10 per cent for pedal cyclists and 4 per cent for motorcyclists (DOT, 2009)
The aim of this essay is to compare and contrast the use of fentanyl and morphine as pre-hospital analgesia, although in the ambulance service the two main forms of analgesia for medium to severe pain are Entonox and morphine Sulphate (JRCALC., 2006) the gold standard is morphine sulphate (Jelinek 2000, 1247).
Yet is there another analgesia that we could be using which could enhance the Paramedics toolbox, and if so what are the implications and overall efficacy of a possible different analgesia?
You are called to a RTC (Road traffic Collision), 30 y/o male, collided with a tree, trapped by his legs in a vehicle in considerable pain. Approximately 30 minutes to release him, airway patent, respiratory rate 22 rpm, barely palpable radial pulse, 120 bpm Tachycardic, BP 95/50mmHg.
Although paramedics abide by a code of practice, drug administration are governed by guidelines (JRCALC, 2006) that are outside of the remit for this essay, the author will be solely considering the difference between fentanyl and morphine, its route of administration, pharmacokinetics and pharmacodynamics...
Faculty of Health and Life Sciences
Diploma HE Paramedic Science
January 2011 Cohort
Module 227PM
Paramedic Skills Development Across the Age Spectrum
Student number 3787258
Fentanyl Verses Morphine Sulphate in A Road Traffic Collision
Set Word Limit:2000
Word Count:2188
Submission Date:31/05/2011
The number of reported road accident casualties in Great Britain in 2009 were a total of 222,146 reported casualties of all severities, 4 per cent lower than in 2008. 2,222 people were killed, 12 per cent lower than in 2008, 24,690 were seriously injured (down 5 per cent) and 195,234 were slightly injured (down 4 per cent). The number of fatalities fell for almost all types of road user, with a fall of 16 per cent for car occupants, 13 per cent for pedestrians, 10 per cent for pedal cyclists and 4 per cent for motorcyclists (DOT, 2009)
The aim of this essay is to compare and contrast the use of fentanyl and morphine as pre-hospital analgesia, although in the ambulance service the two main forms of analgesia for medium to severe pain are Entonox and morphine Sulphate (JRCALC., 2006) the gold standard is morphine sulphate (Jelinek 2000, 1247).
Yet is there another analgesia that we could be using which could enhance the Paramedics toolbox, and if so what are the implications and overall efficacy of a possible different analgesia?
You are called to a RTC (Road traffic Collision), 30 y/o male, collided with a tree, trapped by his legs in a vehicle in considerable pain. Approximately 30 minutes to release him, airway patent, respiratory rate 22 rpm, barely palpable radial pulse, 120 bpm Tachycardic, BP 95/50mmHg.
Although paramedics abide by a code of practice, drug administration are governed by guidelines (JRCALC, 2006) that are outside of the remit for this essay, the author will be solely considering the difference between fentanyl and morphine, its route of administration, pharmacokinetics and pharmacodynamics...