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Penthrox: a breath of PHEC air for the military?
  1. Hugo M L Cohen1 and
  2. R Wolstenholme2
  1. 1 4 Armoured Medical Regiment, Keogh Barracks, Ash Vale, UK
  2. 2 MOD Lyneham MTF, Lyneham, UK
  1. Correspondence to Hugo M L Cohen, 4 Armoured Medical Regiment, Keogh Barracks, Ash Vale GU12 5RQ, UK; hugo.cohen{at}


Prehospital analgesia is vital to good clinical care and inhaled methoxyflurane (Penthrox) would be a valuable addition to the armed forces medical armoury. Penthrox would provide strong, fast-acting, self-administered and safe analgesia to patients with moderate to severe injuries. In addition, it would provide an option for strong analgesia which would not be subject to the regulations that govern controlled or accountable drugs which gives it a unique position as the military moves its focus from large enduring operations to small short-term training teams supported by lone combat medics in remote locations across the globe.

  • analgesia
  • Penthrox
  • methoxyflurane
  • battlefield analgesia

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  • Contributors Original idea, initial research and text: HMLC. Supervision and editing: RW.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.