HAL will be down for maintenance from Friday, June 10 at 4pm through Monday, June 13 at 9am. More information
Skip to Main content Skip to Navigation
Master Thesis

Expériences de pratique de l’analgésie en traumatologie par les médecins de montagne. Étude qualitative réalisée au printemps 2020

Abstract : Objective: explore the experiences of practice of analgesia in mountain trauma. Secondary objective: identify the expectations and perspectives raised by penthrox. Method: qualitative study by semi-structured interviews with 12 general practitioners recruited from the Médecins de Montagne association. Data collection was carried out using an interview guide. The verbatims were studied according to a thematic phenomenological analysis. Results: cohesion of the know-how between doctors, and with the participants of the first aid chain, and the coordination of the acts of care, appear essential. During these procedures, the medicinal means, which allow them to achieve multimodal sedation analgesia, satisfy them. Some practices, such as psycho-behavioral pain assessment and anxiety disorder, are heterogeneous. The time to first analgesia is an unanimous problem. The interest of ALRs is unequivocal, but they remain too little protocolized. Finally, physicians stress the importance of the caregiver/patient relationship, and seem interested in patient-centered non-drug therapies, such as conversational hypnosis. Conclusion: recommendations specific to trauma could harmonize certain still heterogeneous practices. Dedicated analgesia delegation protocols for trackers, including penthrox, could allow earlier analgesia. The relational dimension is central, and conversational therapies centered on the patient could improve analgesia practices in trauma.
Document type :
Master Thesis
Complete list of metadata

https://dumas.ccsd.cnrs.fr/dumas-03532453
Contributor : Faculté de Médecine Um Connect in order to contact the contributor
Submitted on : Tuesday, January 18, 2022 - 3:02:35 PM
Last modification on : Tuesday, February 22, 2022 - 3:12:27 AM

File

DUPOUET Augustin_thèse.pdf
Files produced by the author(s)

Licence


Distributed under a Creative Commons Attribution - NonCommercial - ShareAlike 4.0 International License

Identifiers

  • HAL Id : dumas-03532453, version 1

Collections

Citation

Augustin Dupouet. Expériences de pratique de l’analgésie en traumatologie par les médecins de montagne. Étude qualitative réalisée au printemps 2020. Médecine humaine et pathologie. 2020. ⟨dumas-03532453⟩

Share

Metrics

Record views

21

Files downloads

16