Archive for April2016
Narcan Dosing and Delivery
The heroin epidemic continues to rage in Hartford and across our state and nation. Â While nearly every other day there seems to be an article in the paper about fatal overdoses in various towns, most of the overdoses we see on the EMS streets, even the fatal ones do not make the news, though they […]
The End of Pain Scales?
A bill has been introduced in Congress that will eliminate the financial penalty (in the form of reduced Medicare reimbursements) hospitals pay for failure to keep patients pain-free. Currently the amount of money Medicare pays a hospital is affected by the results of a patient satisfaction survey known as the “Hospital Consumer Survey of Healthcare Providers and […]
Amiodarone vs. Lidocaine vs. Placebo
The results are in. In an article, Amiodarone, Lidocaine, or Placebo in Out-of-Hospital Cardiac Arrest, published in yesterday’s New England Journal of Medicine by Peter J. Kudenchuk, M.D., Siobhan P. Brown, Ph.D, and others, the results of a major randomized double blinded study involving paramedics from ten major cities in North America (The Resuscitation Outcomes Consortium […]
Peter Canning
Non-Opioid Pain Management
Here in New Zealand we have had paracetamol and ibuprofen for a number of years, added to this we have the opiates tramadol, morphine and fentanyl and the option of low dose midazolam and ketamine.
2017-10-17 08:48:19
Non-Opioid Pain Management
Rhode Island authorized PO Ibuprofen, acetaminophen, and ASA, as well as NO and Toradol for non-opioid management during a major protocol update back in March. All but the Toradol are BLS.
2017-10-17 02:24:41
Non-Opioid Pain Management
This protocol change IS an emergency change and as soon as a service obtains the medications through their affiliate pharmacy and successfully completes the training they can adminster the non-opiod medication options. The 1/1/2018 date is a “ no later than” date ..... if anyone has questions on this please contact me directly at renee.atherton@state.ma.us
2017-10-10 20:47:13
Non-Opioid Pain Management
I wonder when we will start to see more systems use ketamine for non-opiate pain management 0.15-0.30 mg/kg IV over 10 minutes. We are starting to use this in some areas of Canada at the ALS/CCT level and it is highly effective.
2017-10-08 18:44:05
Toradol
Just went through my first KIdney stone and this was pain on a scale I have never experienced before (run over by bulls, bucked off horses and this took the prize). After an hour and half of excruciating pain they finally found the dose required, to allow for an X-ray. Taradol 30mg and 20mg Morphine.…
2017-10-07 23:59:14
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