Prehospital Analgesia INtervention Trial (PAIN)

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorJason Sperry

About this trial

The Prehospital Analgesia INtervention trial (PAIN) is a proposed 4 year (3-year enrollment) multicenter, prehospital, randomized, double-blind, clinical trial that will enroll approximately 994 patients at select LITES Network sites. The objective is to perform a prospective, interventional, randomized trial among prehospital trauma patients with compensated shock (SI≥0.9 or HR ≥115) and an indication for pain management, comparing patient centered outcomes following prehospital administration of ketamine hydrochloride versus fentanyl citrate.

Eligibility criteria

Qualifiers

Transport after injury to a participating PAIN Trauma center

2. Patient with compensated shock as defined by Shock Index (SI) ≥0.9 or Heart Rate (HR) ≥115.

Intravenous pain medication indicated (CPOT≥2, NRS≥5) prior to arrival at the trauma center

Disqualifiers

No IV access

Age <18 years

Females <50 years of age

SBP>180 mmHg at time of enrollment

Trial design

Treatments tested in this trial

  • Ketamine Hydrochloride
  • Fentanyl Citrate

Treatment groups

994 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Jason Sperry

Lead sponsor

University of Pittsburgh

Sponsor institution

United States Department of Defense

Collaborator