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Originally Posted by ccrn
...I know that EMS will use similar meds for reductions, extrications etc but Crip would have to expend on that as its not my area of expertise (yet).
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We werent using Fentanyl Lollipops or lozenges in EMS when I came here to the SFQC; I do not believe that has changed. We did use Morphine (with Promethazine) the majority of the time for mod-severe pain mgmt with the occassional use of Nitrous Oxide (self-administered). MS was given during extrication if and only if it was a simple extrication and the injuries were simple in nature, ie: extremity fx's. If the patient c/o back/neck, abd, or pelvic pain or had LOC, werent A&Ox3, or had other Neuro deficits Morphone was contraindicated until they were out of the vehicle/wreckage and a thorough secondary eval had been performed.
Reductions were never performed in EMS either.
HTH,
Crip
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Last edited by Surgicalcric; 02-22-2007 at 22:45.
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