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Old 02-22-2007, 14:23   #26
SouthernDZ
Quiet Professional
 
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Join Date: Feb 2007
Location: Texas
Posts: 656
[QUOTE=Eagle5US]Though I think I understand what you are trying to say here, I have to disagree with the way you have presented it.

Which is certainly your perogative; however, I've been in emergency medicine since 1973 and I've never yet administered pain medication to a semi-conscious casualty yet and won't begin at this point. At Shock Trauma we had the most heinous injuries MIEMSS could bring our way. We would emplace two chest tubes, reintubate, perform IV maintenance, and often would incise the abdomen and cross-clamp the descending aorta prior to moving to the OR; all in less than 3 minutes.

Realizing that "pain is the patient's problem" is a coping mechanism that allows you to deal with the tragic circumstances of a life that has often been altered permanently. Especially when dealing with children.

After 23 years, 5 months and 19 days of team time, I never once allowed a casualty to carry-on in pain, when it could be prevented. It isn't always in my power to alleviate such; therefore it might be best to be dispassionate about what you have to do and soulsearch about "how you could have made it a little less painful" later. I would've loved to had that kind of time but I was a little busy trying to keep them on active duty.

With Respects
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