BACKGROUND: Wounded soldiers often experience substantial pain, which must be addressed before returning to active duty or civilian life. The United States (US) military has instituted several guidelines and initiatives aimed at improving pain management by providing rapid access to medical care, and developing interdisciplinary multimodal pain management strategies based on outcomes observed both in combat and hospital settings.OBJECTIVE: To provide a narrative review regarding US military pain management guidelines and initiatives, which may guide improvements in pain management, particularly chronic pain management and prevention, for the general population.METHODS: A literature review of US military pain management guidelines and initiatives was conducted, with a particular focus on the potential of these guidelines to address shortcomings in chronic pain management in the general population.DISCUSSION: The application of US military pain management guidelines has been shown to improve pain monitoring, education and relief. In addition, the US military has instituted the development of programs and guidelines to ensure proper use and discourage aberrant behaviours with regard to opioid use, because opioids are regarded as a critical part of acute and chronic pain management schemes. Inadequate pain management, particularly inadequate chronic pain management, remains a major problem for the general population in the US. Application of military strategies for pain management to the general US population may lead to more effective pain management and improved long-term patient outcomes.

中文翻译：

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疼痛管理策略和军事经验：叙事回顾

背景：受伤的士兵经常会遭受巨大的痛苦，必须在恢复现役或平民生活之前解决这一痛苦。美国军方已经制定了几项指导方针和倡议，旨在通过提供快速的医疗服务来改善疼痛管理，并根据在战场和医院环境中观察到的结果制定跨学科的多模式疼痛管理策略。关于美国军方疼痛管理指南和倡议的评论，这可能指导改善普通人群的疼痛管理，尤其是慢性疼痛的管理和预防方法。方法：对美国军方疼痛管理指南和倡议进行了文献综述，讨论：美国军事疼痛管理指南的应用已显示出可改善疼痛监测，教育和缓解的效果。该指南旨在解决普通人群中慢性疼痛管理的缺陷。此外，由于阿片类药物被认为是急，慢性疼痛管理计划的重要组成部分，美军已经制定了程序和指南，以确保正确使用并阻止阿片类药物使用中的异常行为。疼痛管理不充分，尤其是慢性疼痛管理不充分，仍然是美国普通人群面临的主要问题。将军事上的疼痛管理策略应用于美国一般人群，可能会导致更有效的疼痛管理并改善长期患者的预后。