Fentanyl vs Morphine

[Carl Ashman]

Oh god what i wouldn't give to have ketamine in my kit bag!

Yep, got to say, I really think it's the dog's bollocks. Your patient is one minute writhing in agony and snoring gently the next...

C.

[Emtpbill]

One other advantage I just learned about, after taking a con-Ed class from a pain management specialist is that many people are now taking buprenorphine for pain. In the past it was used to help with opiate detox in the form of suboxone and subutex, but recently alot of Doctora now prescribe it for pain management.

Now if you have a patientnon subutex or suboxone that requires pre-hospital pain management you must first give fentanyl. The reason being is that fentanyl is the only drug that cane knock buprenorphine off of the mu-receptors. Otherwise if you just give morphine, the patient will not receive any benefit. After the fentanyl you can follow with more fentanyl or morphine. From what I have been told 100-200mcg will knock the buprenorphine off the receptors.