After using Penthrox to treat a close fracture dislocation, I was delighted with the time saved by avoiding the sedation pathway. I have now adopted a Penthrox First approach for all my relevant trauma pain patients.
I prescribe Penthrox most days, both pre-hospital and in the Emergency Department. It’s my hand grenade for pain, enabling rapid relief whilst I arrange definitive care.
Within seconds we were able to manipulate her badly deformed ankle and plaster it, both without her being aware that the procedure had been carried out until about a minute later!
In quite a few cases, we have saved not just time, but also valuable resource, as the injuries have been able to be dealt with in the minor injury section, whereas some of these patients would have been needed to have been moved to majors/resus.
I have now adopted a Penthrox First approach for all my relevant trauma pain patients.
Penthrox reduced my patient’s pain score from 10/10 to 2/10 within one minute.