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We also give pain control/management to all patients that are
hurting. If there is a head injured patient who can't talk for themselves
but still busted up he/she will get some analgesia. My question (for those
who believe that notion that someone wants a person free of narcotics for
evaluation) always is. How did you or do you find that lacerated spleen
with a patient of a GCS of 3 from their head trauma????
Finally.. Think of you or your family member on that
stretcher with all that vibration and movement from the aircraft.. Ouch I
say...
----- Original Message -----
Sent: Wednesday, October 09, 2002 7:19
AM
Subject: Re: Trauma analgesia
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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