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MediumRural & Remote MedicineAnalgesia in remote traumaau-amcau-acem

A 30-year-old man working on a cattle station 400 km from the nearest base hospital sustains a closed mid-shaft femoral fracture after falling from a horse. He is haemodynamically stable after initial management. Retrieval will take several hours. Which pain management strategy is most appropriate in this rural and remote context?

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