Tag Archives: Pain Management

Intranasal Fentanyl

February 1 was the first day we would use intranasal Fentanyl.

Splinting (Update)

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My quest to be the Architectural Digests’ Best Splint Ever Winner, as well as getting an award for Most Improved Splinter continues.


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Perhaps if I had done what as a new EMT so many years ago I had done, the patient would have been more comfortable. Now, I am not saying take away my morphine and Fentanyl and just give me a pile of splints and cravats, but I am saying I recognize a clear area for improvement.

You gave her 20 Milligrams?!!

I have decided, be damned, if the patient is still awake, breathing and in pain, just because I have hit my standing order limit, doesn’t mean I shouldn’t call in for more. All I have to do is pick up the radio and ask to talk to a doc. How hard is that?

How to Make Up The Stretcher

Okay, new partner, here’s how I like my stretcher made up…

2010: A Year in Paramedicine

Every medic’s experience is going to be different based on the type of service they operate in, their medical control, the hours they work and the population served. Here then are my 2010 stats.

Drug Seeker

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Sometimes I wonder what he was like years ago before pain and need and abuse came to call.

Morphine and Fentanyl

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The take home message for me is when used to treat prehospital pain morphine and fentanyl are safe. Do not be afraid to treat your patients out of fear of causing adverse effects.

Would You Like More Pain Medicine?

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The bottom line is this physician has come up with an interesting and bias-free pain management protocol. You apply the same protocol to anyone in acute pain. Young, old, black, white, male, female, rich, poor.

0.5 MG Morphine

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Sometimes I have found parents do not like the idea of “an ambulance driver” giving their child morphine (perhaps they think it is similar to an ice cream truck driver selling them heroin) so I have on occasion called medical control with the parent at my side to have the physician reassure the parent that morphine would be a good medication for their screaming child with the fractured arm. Other parents, of course, have nodded agreeablely when I have told them I am planning to give their child morphine. Anything to ease their child’s suffering is agreeable to them. So pleased were they that I could have been offered honorary unclehood on the spot.

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