great new article that was just published in the Western Journal of Emergency Medicine.

Education On Prehospital Pain Management: A Follow Up Study
French, Scott C.; Chan, Shu B.; Ramaker, Jill

I think everyone who has ever given a push of morphine or fentanyl in an ambulance or other pre-hospital care situation should read it…we might not be treating our patient’s with enough pain medicine?

This presents a real dilema!

We can always give more meds, but how can we give more meds and be SAFE! Could we monitor them better to get a more aggressive pain-management protocol set up?

Open to discussion; anyone have any opinions?

  1. medgyess says:

    I believe this study is limited because it only includes morphine sulfate as a pharmacological option.

    We shouldn’t handcuff paramedics by limiting their repertoire. I advocate allowing them to use other pharmacological agents to control the painful patient including fentanyl, hydromorphone, succinylcholine, rocuronium, cisatracurium, midazolam, propofol, etc.

    I also advise extensive training in airway and ventilator management.