Need some info in regards to Pain Medications

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emtgirl26

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Hey guys, I am doing a paper for Medic school on the evolution of pain meds/control and I am curious as to what you guys all use and carry out there and the state/area of the country you work out of....the service i work for as an EMT carries just about everything and our medics are told to treat pain and not worry about anything else basically, i.e. seekers..we are told we are there to provide relief regardless of if it is really there or not and we are not playing investigator....I know some areas of the country still are pretty tight on what they are allowed to give..Help with this would be great!!!
 
Morphine
Fentanyl
Midazolam
Diazepam

Will be getting shortly:

Etomidate
Ketamine
Ketorolac
Nitrous Oxide

Very liberal with pain management

From South Texas
 
NYC uses

Morphine
Fentanyl

Long Island uses

Morphine
Toradol

Technically yoU can include aspirin as well.


Very strict with pain management to both the above.
 
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I am amazed at what we in Minnesota are given to use compared to the NYC, Long Island area..our protocols state we use dilaudid before morphine, we also have versed, ativan, and ketamine..
My service has been using Ketamine for almost 2 years now. It is not something that is given out regularly but it is an awesome tool when needed.
Thanks for the replies!
 
Analgesics only? Morphine and Fentanyl.

DFW area of Texas.
 
"Protocols" state what I have and how much I can give, everything else is up to the provider in what is or is not appropriate, as how it should be. Provider clinical judgement is paramount.
 
In northwest Akansas we carry morphine, fentanyl for pain. Use is limited to chest pain, extremity injuries or burns. Morphine 2-5 mg max 20. Fentanyl 50 mcg max 200 mcg. In northeast Oklahoma we carried morphine and use was limited to chest pain, extremity injuries or burns but it was online med control only.
 
Our pain management protocol calls for morphine 2-10Mg to a max if 10mg. We can give up to 20 with a base hospital order.

We can use lidocaine for concious IOs.

We also have lidocaine jelly, but it's in the protocols for ETT and NPA insertion.

And we carry midazolam, which isn't in the protocols for pain management but anything is possible when you have a deviation from protocol protocol
 
We carry:

morphine
fentanyl
butorphanol

For fentanyl our orders are 50 mcg every 3-5 minutes, not to exceed 250 mcg w/o med. control. Our orders for morphine are 2-5 mg every 10 minutes, not to exceed 20 mg w/o med. control. For butorphanol (Stadol), we can give 1-2 mg, however, we very rarely use it, and it will be going away as soon as we can keep a relatively constant supply of fentanyl.

It's paramedic discretion as to which narcotic we want to use, however, morphine is our first line for cardiac chest pain.
 
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