A 45-year-old male is trapped in a vehicle with an unstable dashboard compressing his pelvis. He is conscious and in severe pain. Fire and rescue esti...

Question

A 45-year-old male is trapped in a vehicle with an unstable dashboard compressing his pelvis. He is conscious and in severe pain. Fire and rescue estimate 30 minutes to extrication. What is the most appropriate analgesic strategy?

Accepted Answer

IV ketamine at sub-dissociative dose (0.1-0.3 mg/kg) with titration, combined with intranasal or IV fentanyl

Answer

Oral paracetamol 1 g and ibuprofen 400 mg

Answer

Entonox alone

Answer

IM morphine 10 mg as a single dose

Answer

No analgesia until extrication is complete to allow ongoing neurological assessment

uk-dipimc MCQ (SBA): Entrapped Patient Analgesia

A 45-year-old male is trapped in a vehicle with an unstable dashboard compressing his pelvis. He is conscious and in severe pain. Fire and rescue estimate 30 minutes to extrication. What is the most appropriate analgesic strategy?