Papers are eating my brain.
In other news...patient with moderately severe eye injury, to be taken to eye center at Big Fancy Hospital. Patient is in a lot of pain. Hospital says "Vitals are stable. Go ahead and drive the 1-1.5 hours up here." (This is the first WTF, as it pulls a medic unit out of the area for a minimum of 4 hours).
Medic says "Uh, ok. Oh, patient is in a lot of pain. Request permission to give 2mg morphine."
Patient is about 85-90kg. Granted, patient did admit to 'a few drinks' but still....2 mg morphine? For an EYE INJURY???? For a 1.5 hour DRIVE??????
You might as well spray that morphine in the air for all the good it's going to do the patient.
OYE! And I can't say or do a damned thing, as I have my NREMT-I, but cannot get licensed in this state because I am not a member of a dept that has ALS volunteers (a rant for another day).
I was reminded of Rogue Medic's take on pain management in the prehospital (and sometimes hospital) setting (well, one of his takes, at least).
Monday, September 20, 2010
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