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Category: Pain Managment

Breaker of Men

Posted on September 25, 2014August 22, 2021 by medicscribe

We find our patient by the elevator doors in a public building. He is on all fours, dry heaving, and shaking. He says he is in terrible pain. Security tells us he is a visitor to this public building. They don’t know anything about him other than that he has been screaming that he is…

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These Go to 11

Posted on March 19, 2013August 15, 2021 by medicscribe

“I don’t think you understand,” my preceptee said. “Zero is no pain, 10 is like an alligator biting your leg off pain.”

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EMS Changes

Posted on April 14, 2012August 15, 2021 by medicscribe

The number one treatment change in EMS in the last twenty years is the increased emphasis on painmanagement and comfort care. Albert Schweitzer said, “Pain is a more terrible lord of mankind than death himself…. We must all die. But that I can save him from days of torture, that is what I feel as…

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Pain-Why Call Now?

Posted on February 20, 2012August 15, 2021 by medicscribe

I used to get upset when the call was for an old fall or fall yesterday or fall last night. The same when I’d get called for abdominal pain and a person says they have been having the pain for two weeks or three months. I got upset because the nature of the call was…

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Drug Seeker

Posted on August 2, 2010August 15, 2021 by medicscribe

So this man is, based on my experience, a drug seeker. This is not a first impression or an instinct. I say this based on seven or eight years of transporting this patient (our service transports the patient anywhere from one to four or five times a month) to multiple hospitals. The calls are not…

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The Cat that Didn’t Move

Posted on March 14, 2008August 22, 2021 by medicscribe

The patient — a forty-year-old man — says his back is killing him. He has sciatica. He is on Oxycodone, but his vial is empty and his doctor won’t give him a refill. I look at the vial. It was filled six days ago. You should still have pills left, I say. “You won’t believe…

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Pain Control

Posted on May 1, 2007August 22, 2021 by medicscribe

My new preceptee is doing great. On most calls I am a complete invisible man, just sitting back and watching her work. If I offer anything, it is usually just a small trick of the trade. Since she is only part-time, we only work together a couple times a week so I am still doing…

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A Two Year Old’s Pain

Posted on February 18, 2007August 17, 2021 by medicscribe

Thirty percent of the calls in my town are patients over 80 years old. Lots of pneumonias, CVAs, COPD, hip fractures, etc. We rarely get kids. Started off the day with a 95-year-old who “went into a trance” and “fell out.” When we got there, there were people running toward the house in panic and…

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Tincture of Chicken Soup

Posted on June 26, 2006August 18, 2021 by medicscribe

I have been a big advocate of pain relief for patients. All the studies show that patients are consistently undermedicated both prehospitally and in the ER. Pain relief is something we can do that makes a huge difference for the patient. We can take care of their pain. I try to be as aggressive as…

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Carolina Tall Tale

Posted on January 15, 2006August 22, 2021 by medicscribe

I’m working on the computer when we get the call. I am in fact in the middle of downloading a program. Bad timing. There is no way I can wait for the download to finish. I decide to just minimize the window amd leave it at that. Only when we are on the way to…

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It is Unethical

Posted on August 22, 2005August 22, 2021 by medicscribe

230 lb guy slips in the shower, lands on his shoulder. When we get there he is in extreme pain and has an obviously deformed shoulder. It is either fractured, dislocated or both. What do you do for pain? Morphine. Okay, now here’s the catch. The location is a drug and alcohol rehab clinic, the…

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