Battlefield pain summit 2022: Expert consensus statements

Thomas R. Stark; Nathan L. Davidson; Jeremy W. Cannon; Travis M. Polk; Stacy A. Shackelford; Jonathan D. Stallings; Andrew P. Cap; Stacy A. Shackelford; Chester C. Buckenmaier; Frank K. Butler; John L. Clifford; Craig G. Crandall; Angela Curell; Lilian Custodio; Sandeep T. Djangal; Robert T. Gerhardt; Grigsby Eric; Kenneth M. Hargreaves; Krista B. Highland; Crystal Hill-Pryor; Eric F. Holt; Asma A. Khan; Robert L. Mabry; John C. Maitha; Brian C. McLean; Harold Montgomery; Peter Murray; Johnny W. Paul; Elaine D. Por; Jason L. Reed; Kathy L. Ryan; Margaux Salas; Natasha Sosanya; Jeffrey M. Tiede; John Vogel; Joseph C. Watso

doi:10.1097/TA.0000000000003711

Battlefield pain summit 2022: Expert consensus statements

Thomas R. Stark, Nathan L. Davidson, Jeremy W. Cannon, Travis M. Polk, Stacy A. Shackelford, Jonathan D. Stallings, Andrew P. Cap, Stacy A. Shackelford, Chester C. Buckenmaier, Frank K. Butler, John L. Clifford, Craig G. Crandall, Angela Curell, Lilian Custodio, Sandeep T. Djangal, Robert T. Gerhardt, Grigsby Eric, Kenneth M. Hargreaves, Krista B. Highland, Crystal Hill-PryorEric F. Holt, Asma A. Khan, Robert L. Mabry, John C. Maitha, Brian C. McLean, Harold Montgomery, Peter Murray, Johnny W. Paul, Elaine D. Por, Jason L. Reed, Kathy L. Ryan, Margaux Salas, Natasha Sosanya, Jeffrey M. Tiede, John Vogel, Joseph C. Watso

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

BACKGROUND Battlefield pain occurs in combat casualties who experience multiple severe injuries. The nature of battlefield scenarios requires a distinct approach to battlefield pain research. A battlefield pain summit was thus convened to identify shortcomings in the current understanding of battlefield pain management, review the current state of battlefield pain research, and shape the direction of future research. METHODS On January 10 to 11, 2022, a hybrid in-person and virtual meeting hosted by the US Army Institute of Surgical Research defined research priorities for the Combat Casualty Care Research Program's Battlefield Pain research portfolio. Summit participants identified the following key focus areas under the umbrella of battlefield pain research: battlefield injury patterns; use of ketamine and nonopioid analgesics; analgesic delivery systems; the impact of analgesia on performance, cognition, and survival; training methods; battlefield regional anesthesia; and research models. Preliminary statements presented during the summit were refined and rank ordered through a Delphi process. RESULTS Consensus was achieved on 7 statements addressing ideal analgesic properties, delivery systems, operational performance concerns, and pain training. Ketamine was identified as safe and effective for battlefield use, and further research into nonopioid analgesics represented a high priority. CONCLUSION The 7 consensus statements that emerged from this battlefield pain summit serve as a template to define the near-term research priorities for military-specific battlefield pain research.

Original language	English (US)
Pages (from-to)	S12-S15
Journal	Journal of Trauma and Acute Care Surgery
Volume	93
Issue number	2
DOIs	https://doi.org/10.1097/TA.0000000000003711
State	Published - Aug 1 2022
Externally published	Yes

Keywords

Combat casualty care
analgesia
forward surgical care
ketamine
military trauma

ASJC Scopus subject areas

Surgery
Critical Care and Intensive Care Medicine

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10.1097/TA.0000000000003711

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Stark, T. R., Davidson, N. L., Cannon, J. W., Polk, T. M., Shackelford, S. A., Stallings, J. D., Cap, A. P., Shackelford, S. A., Buckenmaier, C. C., Butler, F. K., Clifford, J. L., Crandall, C. G., Curell, A., Custodio, L., Djangal, S. T., Gerhardt, R. T., Eric, G., Hargreaves, K. M., Highland, K. B., ... Watso, J. C. (2022). Battlefield pain summit 2022: Expert consensus statements. Journal of Trauma and Acute Care Surgery, 93(2), S12-S15. https://doi.org/10.1097/TA.0000000000003711

Stark, TR, Davidson, NL, Cannon, JW, Polk, TM, Shackelford, SA, Stallings, JD, Cap, AP, Shackelford, SA, Buckenmaier, CC, Butler, FK, Clifford, JL, Crandall, CG, Curell, A, Custodio, L, Djangal, ST, Gerhardt, RT, Eric, G, Hargreaves, KM, Highland, KB, Hill-Pryor, C, Holt, EF, Khan, AA, Mabry, RL, Maitha, JC, McLean, BC, Montgomery, H, Murray, P, Paul, JW, Por, ED, Reed, JL, Ryan, KL, Salas, M, Sosanya, N, Tiede, JM, Vogel, J & Watso, JC 2022, 'Battlefield pain summit 2022: Expert consensus statements', Journal of Trauma and Acute Care Surgery, vol. 93, no. 2, pp. S12-S15. https://doi.org/10.1097/TA.0000000000003711

@article{5bd9d868997342c68348043fcdacdbd4,

title = "Battlefield pain summit 2022: Expert consensus statements",

abstract = "BACKGROUND Battlefield pain occurs in combat casualties who experience multiple severe injuries. The nature of battlefield scenarios requires a distinct approach to battlefield pain research. A battlefield pain summit was thus convened to identify shortcomings in the current understanding of battlefield pain management, review the current state of battlefield pain research, and shape the direction of future research. METHODS On January 10 to 11, 2022, a hybrid in-person and virtual meeting hosted by the US Army Institute of Surgical Research defined research priorities for the Combat Casualty Care Research Program's Battlefield Pain research portfolio. Summit participants identified the following key focus areas under the umbrella of battlefield pain research: battlefield injury patterns; use of ketamine and nonopioid analgesics; analgesic delivery systems; the impact of analgesia on performance, cognition, and survival; training methods; battlefield regional anesthesia; and research models. Preliminary statements presented during the summit were refined and rank ordered through a Delphi process. RESULTS Consensus was achieved on 7 statements addressing ideal analgesic properties, delivery systems, operational performance concerns, and pain training. Ketamine was identified as safe and effective for battlefield use, and further research into nonopioid analgesics represented a high priority. CONCLUSION The 7 consensus statements that emerged from this battlefield pain summit serve as a template to define the near-term research priorities for military-specific battlefield pain research.",

keywords = "Combat casualty care, analgesia, forward surgical care, ketamine, military trauma",

author = "Stark, {Thomas R.} and Davidson, {Nathan L.} and Cannon, {Jeremy W.} and Polk, {Travis M.} and Shackelford, {Stacy A.} and Stallings, {Jonathan D.} and Cap, {Andrew P.} and Shackelford, {Stacy A.} and Buckenmaier, {Chester C.} and Butler, {Frank K.} and Clifford, {John L.} and Crandall, {Craig G.} and Angela Curell and Lilian Custodio and Djangal, {Sandeep T.} and Gerhardt, {Robert T.} and Grigsby Eric and Hargreaves, {Kenneth M.} and Highland, {Krista B.} and Crystal Hill-Pryor and Holt, {Eric F.} and Khan, {Asma A.} and Mabry, {Robert L.} and Maitha, {John C.} and McLean, {Brian C.} and Harold Montgomery and Peter Murray and Paul, {Johnny W.} and Por, {Elaine D.} and Reed, {Jason L.} and Ryan, {Kathy L.} and Margaux Salas and Natasha Sosanya and Tiede, {Jeffrey M.} and John Vogel and Watso, {Joseph C.}",

year = "2022",

month = aug,

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doi = "10.1097/TA.0000000000003711",

language = "English (US)",

volume = "93",

pages = "S12--S15",

journal = "Journal of Trauma and Acute Care Surgery",

issn = "2163-0755",

publisher = "Lippincott Williams and Wilkins",

number = "2",

}

TY - JOUR

T1 - Battlefield pain summit 2022

T2 - Expert consensus statements

AU - Stark, Thomas R.

AU - Davidson, Nathan L.

AU - Cannon, Jeremy W.

AU - Polk, Travis M.

AU - Shackelford, Stacy A.

AU - Stallings, Jonathan D.

AU - Cap, Andrew P.

AU - Shackelford, Stacy A.

AU - Buckenmaier, Chester C.

AU - Butler, Frank K.

AU - Clifford, John L.

AU - Crandall, Craig G.

AU - Curell, Angela

AU - Custodio, Lilian

AU - Djangal, Sandeep T.

AU - Gerhardt, Robert T.

AU - Eric, Grigsby

AU - Hargreaves, Kenneth M.

AU - Highland, Krista B.

AU - Hill-Pryor, Crystal

AU - Holt, Eric F.

AU - Khan, Asma A.

AU - Mabry, Robert L.

AU - Maitha, John C.

AU - McLean, Brian C.

AU - Montgomery, Harold

AU - Murray, Peter

AU - Paul, Johnny W.

AU - Por, Elaine D.

AU - Reed, Jason L.

AU - Ryan, Kathy L.

AU - Salas, Margaux

AU - Sosanya, Natasha

AU - Tiede, Jeffrey M.

AU - Vogel, John

AU - Watso, Joseph C.

PY - 2022/8/1

Y1 - 2022/8/1

N2 - BACKGROUND Battlefield pain occurs in combat casualties who experience multiple severe injuries. The nature of battlefield scenarios requires a distinct approach to battlefield pain research. A battlefield pain summit was thus convened to identify shortcomings in the current understanding of battlefield pain management, review the current state of battlefield pain research, and shape the direction of future research. METHODS On January 10 to 11, 2022, a hybrid in-person and virtual meeting hosted by the US Army Institute of Surgical Research defined research priorities for the Combat Casualty Care Research Program's Battlefield Pain research portfolio. Summit participants identified the following key focus areas under the umbrella of battlefield pain research: battlefield injury patterns; use of ketamine and nonopioid analgesics; analgesic delivery systems; the impact of analgesia on performance, cognition, and survival; training methods; battlefield regional anesthesia; and research models. Preliminary statements presented during the summit were refined and rank ordered through a Delphi process. RESULTS Consensus was achieved on 7 statements addressing ideal analgesic properties, delivery systems, operational performance concerns, and pain training. Ketamine was identified as safe and effective for battlefield use, and further research into nonopioid analgesics represented a high priority. CONCLUSION The 7 consensus statements that emerged from this battlefield pain summit serve as a template to define the near-term research priorities for military-specific battlefield pain research.

AB - BACKGROUND Battlefield pain occurs in combat casualties who experience multiple severe injuries. The nature of battlefield scenarios requires a distinct approach to battlefield pain research. A battlefield pain summit was thus convened to identify shortcomings in the current understanding of battlefield pain management, review the current state of battlefield pain research, and shape the direction of future research. METHODS On January 10 to 11, 2022, a hybrid in-person and virtual meeting hosted by the US Army Institute of Surgical Research defined research priorities for the Combat Casualty Care Research Program's Battlefield Pain research portfolio. Summit participants identified the following key focus areas under the umbrella of battlefield pain research: battlefield injury patterns; use of ketamine and nonopioid analgesics; analgesic delivery systems; the impact of analgesia on performance, cognition, and survival; training methods; battlefield regional anesthesia; and research models. Preliminary statements presented during the summit were refined and rank ordered through a Delphi process. RESULTS Consensus was achieved on 7 statements addressing ideal analgesic properties, delivery systems, operational performance concerns, and pain training. Ketamine was identified as safe and effective for battlefield use, and further research into nonopioid analgesics represented a high priority. CONCLUSION The 7 consensus statements that emerged from this battlefield pain summit serve as a template to define the near-term research priorities for military-specific battlefield pain research.

KW - Combat casualty care

KW - analgesia

KW - forward surgical care

KW - ketamine

KW - military trauma

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ER -

Battlefield pain summit 2022: Expert consensus statements

Abstract

Keywords

ASJC Scopus subject areas

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