title: Pain management in victims of conflict.
abstract: OBJECTIVE
  The purpose of this review is to look at the options available for the management of pain in victims of conflict, from the point of wounding, through a chain of evacuation, to rehabilitation in the home country. This is relevant for all healthcare workers as any could find themselves treating veterans and having a clear understanding of what occurred will help.
  
  
  RESULTS
  The article will discuss developments in the prehospital environment, the field hospital, during repatriation and back in the home country to include neurostimulation in cases of refractory pain. Evidence when available is provided and the difficulties in conducting research in this environment are touched upon.
  
  
  CONCLUSIONS
  The current agents, routes and techniques found in any civilian medical service can be brought to bear with great benefit. However, the secret appears to lie in a robust approach to the importance of treating pain, encouraged in all healthcare professionals, and the recognition of the role of integrating the healthcare package throughout the chain of evacuation. Research remains difficult.
authors.affiliation: Royal Hampshire County Hospital, Winchester, Hants, UK. daldington@me.com
authors.forename: Dominic
authors.initials: D
authors.lastname: Aldington
mesh_terms: D000698:Analgesia / Q000379:methods; D006772:Hospitals, Military / Q000458:organization & administration; D006801:Humans; D008603:Mental Health; D008889:Military Personnel; D059408:Pain Management / Q000379:methods*; D014187:Transportation of Patients / Q000379:methods; D014481:United States; D014857:Warfare