Quote:
|
Originally Posted by SwedeGlocker
I my opinion based on my time in ER, OR, EMS and in a remote setting is that there is always a way to offer a patient pain controll. It can be everything from a comforting hand to Ketamine IV. If a patient have pain in most cases it will be harder to threat the patient. A screming and moving patient dosnt make it easier to do invasive procedures. If the patient is hemodynamic instable the perhaps a regional block och lowdose ketamine? I does take training and experience to threat pain and to find a solutin that fit every patient but it is possibly. And dont forget Acetaminophen as the base in pain controll.
|
Swede:
I tried to make my last post the final, but I feel I must explain to you.
I can understand what you are saying, especially after what you have seen transpire above. "Pain is the patient's problem" is a quote from Dr. Halsas from Baltimore Shock Trauma (hence the multiple references to MIEMSS above). It is not meant to be taken literally unless one is predisposed to do so. His meaning was to alleviate the anxieties (from a then young 18D who felt way out of his league) I was having because of the procedures I was expected to perform. Central lines, external jugular, IOs, DLPs, thoracostomies, etc. I worried about the pain I would be inflicting; however, I didn't take his comment literally then, you shouldn't now. There are many comments you hear in the medical profession and others, "to cut is to cure"; "cold steel & sunshine"; "kill them all and let Allah sort them out" - try to "dissect" the meaning. Not your fault; based on the above I would take me for a bumbling fool as well. I would never (and have never) needlessly inflict pain on another; I assumed that was a given.
I hope this lays all of this to rest, but somehow I doubt it.
Threaded Mode
