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Determinants of clinically important pain severity reduction in the prehospital setting
  1. Paul A Jennings1,2,
  2. Peter Cameron2,
  3. Stephen Bernard1,2
  1. 1Ambulance Victoria, Melbourne, Victoria, Australia
  2. 2Monash University, Department of Epidemiology and Preventive Medicine, Melbourne, Victoria, Australia
  1. Correspondence to Mr Paul A Jennings, Monash University; The Alfred Centre, 99 Commercial Road, Melbourne Victoria 3004, Australia; paul.jennings{at}


This retrospective, electronic patient care record review examined a consecutive sample of patients presenting with pain to the metropolitan region of Ambulance Victoria over a 12 month period in 2008. Seven factors were found to be associated with the likelihood of clinically important pain reduction following multivariate analyses. These included age, time criticality of the patient, pain aetiology, initial pain severity, analgesic agent or combination administered to the patient and prehospital time.

  • Analgesia/pain control
  • emergency ambulance systems
  • emergency medical services
  • emergency medicine
  • epidemiology
  • pain
  • prehospital care
  • wounds and injuries

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  • Competing interests None to declare.

  • Ethics approval This study was conducted with the approval of the Monash University Human Research Ethics Committee.

  • Provenance and peer review Not commissioned; externally peer reviewed.