What analgesic is administered for moderate to severe pain if the casualty is NOT in respiratory distress?

The use of Oral Transmucosal Fentanyl Citrate (OTFC) 800ug is appropriate for managing moderate to severe pain in a casualty not experiencing respiratory distress. Fentanyl is a potent opioid analgesic that effectively relieves significant pain and is especially useful in situations where intravenous access may not be viable or practical. The transmucosal route allows for rapid absorption into the bloodstream, offering quick relief when needed, which is essential in tactical environments.

Additionally, the choice of fentanyl does not compromise respiratory function in a casualty who is not in distress, making it a safe option in this scenario. The pharmacological profile of fentanyl provides effective analgesia while minimizing potential side effects when administered correctly.

Other options may not be as suitable based on the circumstances. For example, ketamine is often used for pain management but can have varying effects on a patient's respiratory status. Morphine, while effective for pain relief, is an opioid that may compromise respiration and has a risk of causing respiratory depression, particularly in higher doses or in patients with underlying issues. Ibuprofen is an NSAID that can alleviate mild to moderate pain but may not be strong enough for cases classified as severe pain.

Hence, OTFC is the best choice in managing moderate