Pain Management Interventions in Military Medicine: State-of-the-Art Pain Management Modalities Used by Physicians and Nurses in Ministry of Defense Hospitals for Trauma Incurred During Combat
Mudhaya, R., Alhakami, R., Alsulami, W., Aladwani, M., Alsamti, A., Almutairi, A., Sufyani, S. (2025). Pain Management Interventions in Military Medicine: State-of-the-Art Pain Management Modalities Used by Physicians and Nurses in Ministry of Defense Hospitals for Trauma Incurred During Combat. EKB Journal Management System, (), -. doi: 10.21608/jmals.2025.454697
Rawan Ali Mudhaya; Raneem Ali Alhakami; Wejdan Fare Alsulami; Maryam Ibrahim Aladwani; Anwar Mohammed Alsamti; Alhanouf Obaid Almutairi; Samah Dawood Sufyani. "Pain Management Interventions in Military Medicine: State-of-the-Art Pain Management Modalities Used by Physicians and Nurses in Ministry of Defense Hospitals for Trauma Incurred During Combat". EKB Journal Management System, , , 2025, -. doi: 10.21608/jmals.2025.454697
Mudhaya, R., Alhakami, R., Alsulami, W., Aladwani, M., Alsamti, A., Almutairi, A., Sufyani, S. (2025). 'Pain Management Interventions in Military Medicine: State-of-the-Art Pain Management Modalities Used by Physicians and Nurses in Ministry of Defense Hospitals for Trauma Incurred During Combat', EKB Journal Management System, (), pp. -. doi: 10.21608/jmals.2025.454697
Mudhaya, R., Alhakami, R., Alsulami, W., Aladwani, M., Alsamti, A., Almutairi, A., Sufyani, S. Pain Management Interventions in Military Medicine: State-of-the-Art Pain Management Modalities Used by Physicians and Nurses in Ministry of Defense Hospitals for Trauma Incurred During Combat. EKB Journal Management System, 2025; (): -. doi: 10.21608/jmals.2025.454697

Pain Management Interventions in Military Medicine: State-of-the-Art Pain Management Modalities Used by Physicians and Nurses in Ministry of Defense Hospitals for Trauma Incurred During Combat

Journal of Medical and Life Science
Articles in Press, Corrected Proof, Available Online from 23 September 2025
Document Type: Original Article
DOI: 10.21608/jmals.2025.454697
Authors
Rawan Ali Mudhaya* 1; Raneem Ali Alhakami1; Wejdan Fare Alsulami2; Maryam Ibrahim Aladwani2; Anwar Mohammed Alsamti2; Alhanouf Obaid Almutairi3; Samah Dawood Sufyani4
1King Fahad Armed Forces Hospital, Jeddah, Nursing Specialist, Saudi Arabia
2King Fahd Armed Forces Hospital – Ministry of Defense, Jeddah, bachelor’s degree in nursing, Saudi Arabia
3General Directorate for Health Services, Ministry of Defense, Riyadh, Bachelor of Science in Nursing, Nursing Specialist, Saudi Arabia
4King Fahad Armed Forces Hospital, Jeddah, Bachelor's, Nursing specialist, Saudi Arabia
Abstract
Background: Trauma incurred in ongoing conflicts, including blast trauma and polytrauma, has elevated chronic pain rates, with up to 60% of injured personnel, and is a factor in the heightened post-traumatic stress disorder (PTSD) and reduced operational readiness. Ministry of Defense (MoD) healthcare systems face specific difficulties in the delivery of sophisticated pain care within austere environments.
Aim: This review synthesizes 2020–2025 evidence on pain management strategies used by physicians and nurses in MoD settings for combat injury, with the intention to evaluate efficacy, identify barriers, and inform standardized protocols.
Methods: A narrative synthesis of 46 peer-reviewed articles in PubMed, Embase, and CINAHL was conducted, prioritizing multimodal strategies (pharmacological, regional anesthesia, complementary integrative health [CIH], rehabilitation). Studies were evaluated using the Mixed Methods Appraisal Tool (2020).
Results: Multimodal therapies, including ketamine infusions (50–70% acute relief), peripheral nerve blocks (74% evacuation relief), and CIH (0.44 SD pain reduction), are more effective than unimodal methods. Nurse-physician teams enhance efficiency, but logistical challenges, opioid stigma, and resource disparities hinder implementation.
Conclusion: Combined pain services reduce opioid dependence and improve outcomes, necessitating more training, tele-CIH expansion, and NATO collaboration to surmount challenges and deliver equitable care.
Keywords
Combat injuries; pain management; Ministry of Defense; multimodal analgesia; nurse-physician collaboration
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