Intranasal Esketamine and Fentanyl for Pain in Minor Trauma

Inclusion Criteria: * NRS 5 or more, minor trauma, no need for immediate iv cannulation, weight 45-115 kg Exclusion Criteria: * pregnancy, breastfeeding, head trauma, severe chronic obstructive pulmonary disease (COPD), gfr under 30, liver cirrhosis, mental illness other than mild/moderate depression, sleep apnea, unstable coronary artery disease (CAD), unstable heart failure (HF), intoxication, untreated hypertension, dementia, do not understand Finnish, contraindication to nasal spray, allergy to any of the medications, bradycardia, desaturation, suspected high intracranial pressure (ICP)