Pain assessment of war wounds and analgesic strategies

VernacularTitle:战伤疼痛等级评估与镇痛策略
Author: Yan CHEN ¹ ; Li MA ; Lijun SUN ; Xiumin LI
Author Information

1. 解放军总医院医疗保障中心药剂科,北京 100853
Keywords: combat casualty care; pain assessment; analgesic strategy
From: Military Medical Sciences 2024;48(8):620-624
CountryChina
Language:Chinese
Abstract: Pain is one of the five vital signs,and the leading complication of war trauma,so analgesia is critical to combat casualty care.The U.S.Tactical Combat Casualty Care guidelines have defined the battlefield graded analgesic strategies.This paper reviews the assessment of pain grade of war wounds,involving the preliminary evaluation according to categories and conditions of trauma,and the quantitative evaluation according to subjective feeling and objective index monitoring.The analgesic strategies are analyzed,involving such as analgesic drugs local anesthetics,non-steroidal analgesics,opioids,N-methyl-D-aspartate receptor antagonists,and such analgesic techniques as regional nerve block,nerve radiofrequency,nerve ablation and spinal cord electrical stimulation technology.This review is expected to provide a useful reference for improving pain management and war injury treatment in China's army.