Penthrox: a breath of PHEC air for the military?

Cohen, Hugo M L; Wolstenholme, Roger J

doi:10.1136/jramc-2018-001122

Cited by 5 publications

(1 citation statement)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Penthrox, an alternative inhaled analgesic to nitrous oxide, was being increasingly used in A&E departments prior to COVID-19, but was adopted more widely throughout the pandemic. It has been shown to give a good analgesic response, is easy to use and is being considered for use by the Army 8 9. Such tools are useful in a resource-limited deployment and could be pushed forward to Role 1 (forward medical facility with primary care and pre-hospital capabilities) if required.…”

Section: Introductionmentioning

confidence: 99%

Military trauma and orthopaedics experience of the UK COVID-19 pandemic: a lesson in versatility and how it can influence our deployed role

et al. 2020

View full text Add to dashboard Cite

The COVID-19 pandemic necessitated unprecedented change within the NHS. Some medical staff have been deployed into unfamiliar roles, while others have been exposed to innovative ways of working. The embedded military Trauma and Orthopaedic (T&O) cadre have been integral to this change. Many of these new skills and ways of working learnt will be transferable to deployed environments. Feedback from the T&O military cadre highlighted key areas of learning as changes in T&O services, use of technology, personal protective equipment, redeployment and training. This paper aims to discuss how these changes were implement and how they could be used within future military roles. The T&O cadre played important roles within their NHS trusts and the skills they learnt will broaden their skills and knowledge for future deployments.

show abstract

Section: Introductionmentioning

confidence: 99%

Military trauma and orthopaedics experience of the UK COVID-19 pandemic: a lesson in versatility and how it can influence our deployed role

et al. 2020

View full text Add to dashboard Cite

show abstract

Managing acute pain with inhaled methoxyflurane in non-cancer patients: a review of the latest evidence

Patel,

Al Aadah,

Al Aadah

et al. 2024

Current Opinion in Supportive &Amp; Palliative Care

View full text Add to dashboard Cite

Purpose of the review Penthrox® (inhaled methoxyflurane, IMF) is an inhaled analgesic used for the treatment of moderate-to-severe acute pain. It has various advantages including the capacity for being self-administered in the presence of healthcare providers (HCPs), rapid onset and offset, and having documented evidence for minimal adverse events post-use. In a variety of non-oncological settings such as pre-hospital transport and minor outpatient procedures, amongst others, IMF has significantly reduced acute pain. As IMF has the capacity to provide appreciable pain relief but is not as widely used as other acute analgesics (i.e., opioids), this review of past and current literature hopes to explore the impact of inhaled IMF on patient outcomes, procedures where it could be used, and to inform readers about this compound. Recent findings In general, patients who used IMF had decreased pain, improved psychosocial factors (i.e., reduced anxiety, improved satisfaction), and minimal adverse events thereby being concluded as safe for use. Summary Future use in remote medical interventions such as military contexts, in emergency room settings, and administration under the supervision of first responders such as non-paramedic and non-HCPs further broadens the scope of settings where IMF can meaningfully be implemented.

show abstract

War and disaster are forcing a major rethink around mass casualty management

Horne,

Hunt,

Hall

et al. 2023

BMJ Mil Health

View full text Add to dashboard Cite

Mass casualty events (MASCAL) do not follow the same rules as typical major incidents. In the West at least, the latter often occur in stable, networked trauma systems, whereas MASCAL are characterised by overwhelming numbers of patients, compounded by protracted scene and transport times, decompensated response systems and significant disruption to infrastructure, command and control.This paper describes the 8Ds approach being taken by the UK Defence Medical Services and the North Atlantic Treaty Organization Emergency Medicine Panel framework to approach MASCAL. The eight domains were derived from literature about management of casualties in the World Wars, and also from approaches taken by civilian health systems as they struggle to manage increasing demand. They are:distribute;decompress;delay;delegate;deliver faster and deliver better;dynamic levels of care; andde-escalate. These domains will allow a structured approach to research and innovate around MASCAL, informing better guidelines for their management.

show abstract

Penthrox: a breath of PHEC air for the military?

Cited by 5 publications

References 17 publications

Military trauma and orthopaedics experience of the UK COVID-19 pandemic: a lesson in versatility and how it can influence our deployed role

Military trauma and orthopaedics experience of the UK COVID-19 pandemic: a lesson in versatility and how it can influence our deployed role

Managing acute pain with inhaled methoxyflurane in non-cancer patients: a review of the latest evidence

War and disaster are forcing a major rethink around mass casualty management

Contact Info

Product

Resources

About