US Army Institute of Surgical Research, Fort Sam Houston, Texas, USA.
Prehosp Emerg Care. 2009 Apr-Jun;13(2):223-7. doi: 10.1080/10903120802290778.
Pain management in the U.S. Military, particularly in combat, shares many of the same principles found in civilian heath care organizations and institutions. Pain is one of the most common reasons for which soldiers seek medical attention in the combat environment, which mirrors the civilian experience. However, the combat environment exacerbates the typical challenges found in treating acute pain and has the additional obstacles of a lack of supplies and equipment, delayed or prolonged evacuation times and distances, devastating injuries, provider inexperience, and dangerous tactical situations. These factors contribute to the difficulty in controlling a soldier's pain in combat. Furthermore, civilian health care providers have also learned the importance of practicing pain management principles in austere and tactical environments because of recent natural and man-made domestic disasters. Pain management research, education, and treatment strategies have been created to try to achieve adequate battlefield analgesia, and these lessons learned may aid civilian health care providers if the circumstances arise. This article presents a brief history and current overview of pain management for combat casualties on today's battlefield. Recent natural disasters and increased threats for terrorist acts have proven the need for civilian health care providers to be properly trained in pain management principles in an austere or tactical environment.
美国军事中的疼痛管理，特别是在战斗中，与民用医疗保健组织和机构中发现的许多相同原则有很多共同之处。疼痛是士兵在战斗环境中寻求医疗关注的最常见原因之一，这反映了平民的经历。然而，战斗环境加剧了治疗急性疼痛时通常遇到的挑战，并增加了缺乏供应品和设备、延迟或延长后送时间和距离、毁灭性伤害、提供者经验不足以及危险战术情况等额外障碍。这些因素导致在战斗中难以控制士兵的疼痛。此外，由于最近的国内自然灾害和人为灾难，民用医疗保健提供者也认识到在艰苦和战术环境中实施疼痛管理原则的重要性。已经创建了疼痛管理研究、教育和治疗策略，以试图实现战场上充分的镇痛效果，如果出现这种情况，这些经验教训可能会帮助民用医疗保健提供者。本文介绍了当今战场上战斗伤员疼痛管理的简史和现状。最近的自然灾害和恐怖主义行为的威胁增加证明了民用医疗保健提供者在艰苦或战术环境中接受疼痛管理原则适当培训的必要性。
