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Even though our transport times are typically alot
shorter, we too offer pain management, to our patients, in the form of Fentanyl
or Morphine. We have not had a problem...
Nancy Hunter, RN
Bayflite
----- Original Message -----
Sent: Wednesday, October 09, 2002 1:50
AM
Subject: Trauma analgesia
Hello group,
First things first, thank you all for
the tremendous response to the sedation/paralytic questions.
Now, on
another subject of personal (and professional) interest. I would like to know
what programs do with regards to trauma analgesia. In other words, Are there
any programs that have in place, protocols for pain management for the trauma
patient in the acute setting? Our program carries Fentanyl/Morphine for pain
management, and have used both with great success.
I understand that some
have the philosophy that acute trauma patients shouldn't be medicated until
they are assessed by a trauma surgeon. Our program is unique in that, in our
region, a scene call for an MVA, oil field accident, or farming accident can
have a one way transport time of 45-60 minutes, and that is a long time to be
hurting while being strapped to a backboard. We will, on occassion, use
Fentanyl just to make the patient a little more comfortable until we reach the
trauma center. We are currently in the process of revising our protocols
regarding this issue.
Any input will certainly be
appreciated,
John Smith, RN
AeroCare
Lubbock, Texas
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