TY - JOUR T1 - Achieving prehospital analgesia JF - Emergency Medicine Journal JO - Emerg Med J SP - 765 LP - 766 DO - 10.1136/emj.2010.095935 VL - 29 IS - 9 AU - Nick Castle AU - Raveen Naidoo Y1 - 2012/09/01 UR - http://emj.bmj.com/content/29/9/765.abstract N2 - We were dispatched to a road traffic collision which was 40 min from the nearest receiving hospital. On arrival, we noted an adult patient who had been extricated from their car after a T-bone collision.ClearResp 32, Spo2 100% on 40% O2BP 130/95 & pulse 100GCS 15Primary survey found no head or chest injuries but an obvious fracture of the femur with associated severe pain preventing the application of a traction splint. We elected to use ketamine 0.25 mg/kg (15 mg based on an estimated weight of 60 kg) to obtain pain relief and a state of conscious sedation (sedated, maintaining own airway but responding to verbal commands).1 In less than 5 min, our patient was more comfortable and sedated, but rousable, allowing application of the traction splint. A pain score could not be recorded, as our patient did not speak English or Zulu, but, during transfer to hospital, our patient … ER -