Most trauma patients are in significant pain. However pain management should only be considered when has been initiated and when the patient's and to them have been established.
In general pain relief is aided by:

• establishing [?] with the patient
• [?] of injured extremities
• movement and handling
• prevention of [?]
• [?] of burns

Opioids should be given [?] in severe trauma:
Titrate in small increments until the desired effect is achieved.
Beware [?], respiratory depression and [?].
Local anaesthetics
Femoral nerve block is very effective for the pain associated with femoral fracture.
In wounds allows exploration.

Go to this page in the guidelines