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Procedural Sedation and Analgesia for Treatment of Adults With Fractures and Dislocations in the Emergency Department
Sponsor: Region Zealand
Summary
The goal of this observational study is to evaluate the effectiveness and safety of different procedural sedation and analgesia methods used for adults with painful fractures requiring reduction treatment in the emergency department. The main questions it aims to answer are: * Which sedation and analgesia methods provide the best patient satisfaction and pain relief? * How do different treatment methods affect clinician satisfaction and the occurrence of adverse events? The investigators will compare different types of procedural sedative and analgesic treatments (such as systemic sedation/analgesia and regional techniques like nerve or hematoma blocks) to see which approach offers the best patient satisfaction and most effective pain control. Participants will: Be adult patients with upper or lower extremity fractures or joint dislocations requiring painful reduction procedures. Receive one of the routinely used sedation or analgesia treatments (or no analgesia) during their emergency department care. Report their pain levels and satisfaction before, during, and after treatment. Be monitored for any side effects, complications, or use of antidotes. Data will be collected over a six-month period at Odense University Hospital, Holbæk Hospital, and Zealand University Hospital, Køge, following the STROBE guidelines for observational studies.
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
OBSERVATIONAL
Enrollment
200
Start Date
2025-07-29
Completion Date
2026-07-01
Last Updated
2026-01-02
Healthy Volunteers
No
Conditions
Interventions
Usual Care
No intervention: Patients will receive usual care
Locations (3)
Emergency Department, Holbæk Hospital
Holbæk, Region Sjælland, Denmark
Emergency Department, Zealand University Hospital
Køge, Region Sjælland, Denmark
Emergency Department, Odense University Hospital
Odense, Region Syddanmark, Denmark