Intranasal sufentanil given in the emergency department triage zone for severe acute traumatic pain—a randomized double-blind controlled trail: comment
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We read with great interest the article by Lemoel et al.  previously published online in Internal and Emergency Medicine. This paper evaluated whether a single dose of intranasal (IN) sufentanil delivered in the triage zone of an emergency department would improve the management of severely painful adult patients with a limb injury (LI), receiving an intravenous (IV) multimodal analgesia (including opioids if needed). The authors considered IN analgesia in case of delayed care in an overcrowded emergency department. As military physicians, we would like to share our experience of IN analgesia in another context: i.e. tactical medicine.
The first special medical unit (French 1st AMS) provides tactical emergency medical support during Gendarmerie Nationale Intervention Group's (GIGN) operations. GIGN is a French counter-terrorism unit specializing in neutralizing terrorists on the national territory. A tactical medical team composed of a physician-nurse pair joins every...
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The authors declare that they have no conflict of interest.
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This article does not contain any studies with human participants or animals performed by any of the authors.
- 3.Service médical du RAID, Antenne médicale spécialisée de Satory (GIGN), Lapostolle F et al (2018) How should prehospital medical unit cope with mass shooting ? Ann Fr Med Urgence 8:316-325Google Scholar
- 4.Dubecq C, Morand G, Ribaud N et al (2018) Intranasal use in an austere environment, an exemple with Ketamine. Proceedings of Urgences 2018 le Congrès; 2018 Jun 13–15; Paris. https://www.urgencesdirectinfo.com/medias/voir/utilisation-de-la-voie-intra-nasale-en-milieu-perilleux-exemple-de-la-ketamine/2898. Accessed 19 Jan 2019