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ProfessionalEMS
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ProfessionalEMS's Discussions
Is pain management really a big difference when comparing Paramedic to EMT?
73 Replies
Started this discussion. Last reply by ProfessionalEMS Dec 12, 2010.
Mass Casualties - School Bus Crashes Seem More Common
3 Replies
Started this discussion. Last reply by Skip Kirkwood Oct 19, 2010.
ProfessionalEMS's Page
Latest Activity
ProfessionalEMS replied to Lyle Holmes's discussion Should lasix be taken out of EMS"I think it still has a place in EMS. Rather than removing it because some are not staying on top of their education we should require people to stay up or get out. But it seems way to often instead of removing those that are poor patient…"
ProfessionalEMS replied to ProfessionalEMS's discussion Is pain management really a big difference when comparing Paramedic to EMT?"Sorry have not been able to respond to all the great comments. "
dr-exmedic replied to ProfessionalEMS's discussion Is pain management really a big difference when comparing Paramedic to EMT?"It's intended for chemical paralysis. Both the T and P are reversible iatrogenic things, hence the need to indicate that this isn't the pt's "baseline" GCS."
Ben Waller replied to ProfessionalEMS's discussion Is pain management really a big difference when comparing Paramedic to EMT?"Doc,
Does the "P" in your "3TP" mean traumatic paralysis, medication-induced paralysis, or both?"
"Astoundingly, DC still does not have any pain meds, nor do we have anything for sedation (except Haldol). I guess we haven't yet had a senator or congress member in severe pain!"
dr-exmedic replied to ProfessionalEMS's discussion Is pain management really a big difference when comparing Paramedic to EMT?"By definition under the GCS, someone who cannot talk because of ETI or trach gets 1T for the verbal. I'm in the trauma ICU right now and have a couple of patients who get E4 V1T M6 = 11T. Some add a P if they're paralyzed, but that's…"
Rogue Medic replied to ProfessionalEMS's discussion Is pain management really a big difference when comparing Paramedic to EMT?"The patient is alert to the pain, not to the environment.
My condolences on the PSP, but PacMan had a similar effect a generation ago. ;-)
the GCS is a measure of the patient's alertness to the environment, therefore I do believe that it is…"
dr-exmedic replied to ProfessionalEMS's discussion Is pain management really a big difference when comparing Paramedic to EMT?"I'm trying to figure out how I'm misreading this, but several readings don't result in anything but a clunk as my mental processes stop right there and this misuse of GCS. So if someone is in pain is so focused on their pain that it…"
Rogue Medic replied to ProfessionalEMS's discussion Is pain management really a big difference when comparing Paramedic to EMT?"ProfessionalEMS,
In the ambulance, we do not have as much need for an alert patient. We have already assessed the level of consciousness. We know that the patient is responsive to pain, or we would not have used an opioid.
How much more alert was…"
ProfessionalEMS replied to ProfessionalEMS's discussion Is pain management really a big difference when comparing Paramedic to EMT?"I would disagree with you last statement. I agree titrated to respiratory rather than slamming large amounts trying for full reversal. If I misunderstood the point you were making sorry.
Thanks for the links to those posting them.
"
Rogue Medic replied to ProfessionalEMS's discussion Is pain management really a big difference when comparing Paramedic to EMT?"dr-exmedic,
Or the doctor may titrate in just enough antagonist to avoid the need for a scan.
In the hospital, there are so many more options that can be considered. In the ambulance, the patient should not need opioid/benzodiazepine reversal."
dr-exmedic replied to ProfessionalEMS's discussion Is pain management really a big difference when comparing Paramedic to EMT?"However, a patient who is awake and alert doesn't have to go to the CT scanner, thereby saving table time for the people who actually need it.
I do love the 1000 x dose story. :)"
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Comment Wall (8 comments)
- At 9:05am on December 13, 2010,
1LT MA JOVINA M SAROMINES said… Thanks for adding me..Be Safe!
- At 11:46am on November 14, 2010,
Marie Roberts said… - Thanks for always sending out messages! It's nice to know someone out there is thinking about ya and hoping you're safe! I had to work a 24 hour shift...everything went well and my crew finished safely! I hope you have a good and safe rest of the weekend!
- At 6:56pm on October 6, 2010,
aaron said… - just came bye to say hi & how is the ems life treating you?
- At 2:03pm on October 6, 2010,
Stephanie Johnson said… - Thanks! Glad to be a part of the community :)
- At 6:38pm on September 22, 2010, aaron said…
- just came bye to say hi & how are you doing today? & be safe out there
- At 8:56am on August 25, 2010,
Tommy Walker said… - Thanks a lot.
Tommy
- At 11:17am on August 24, 2010,
Jacqueline Taylor said… - Thanks!
- At 10:55pm on August 1, 2010, aaron said…
- just came bye to say hi & be safe out there
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