Pain Management

[Just Plain Ruff]

yes I did. not prostate, Ovarian. Been a rough week.

boys have a penis, girls have a vagina, must remember this.

[chbare]

Man, just had a rough one in the ER. Older patient fell down and sustained multiple fractures. Screaming in pain, couldn't get orders. It sucks seeing people needlessly suffer. Rather happy my hospital shifts are limited by educational duties these days. It can be a pretty nihilistic environment as far as providers are concerned. Some days are a constant fight against people who just don't care or are really good at making up reasons not to care. Even worse not having any power to facilitate comfort. Don't take the autonomy you have to make more independant decisions out in the field lightly folks.

[ERDoc]

Man, just had a rough one in the ER. Older patient fell down and sustained multiple fractures. Screaming in pain, couldn't get orders. It sucks seeing people needlessly suffer. Rather happy my hospital shifts are limited by educational duties these days. It can be a pretty nihilistic environment as far as providers are concerned. Some days are a constant fight against people who just don't care or are really good at making up reasons not to care. Even worse not having any power to facilitate comfort. Don't take the autonomy you have to make more independant decisions out in the field lightly folks.

Just remind your providers that pain medicine for long bone fractures is a core measure and JHACO is watching.

[chbare]

Oh, pain meds were given, but the patient was pretty messed up and giving more than 100 mcg of fentanyl will apparently result in a patient's head spinning around a couple of times, falling off, rolling down the hallway and spontaneously combusting in the Pyxis room.

[Just Plain Ruff]

Oh, pain meds were given, but the patient was pretty messed up and giving more than 100 mcg of fentanyl will apparently result in a patient's head spinning around a couple of times, falling off, rolling down the hallway and spontaneously combusting in the Pyxis room.

and don't forget projectile vomiting of pea soup and thus requiring a exorcism needing the services of Max Von Sydow.

[island emt]

When I dislocated my shoulder they gave me 50 mcg then another 50 mcg a couple minutes later with absolutely zero effect on the pain. 5 min later Doc came in and gave me 50 mcg more. Nada zero zilch on pain relief

They talked about Morphine and decided if the Fentanyl did't work , the MS probably wouldn't do much either.

Then they broke out the dilaudid.,,,,,,,,,,,,,,,,,,

thats some powerful stuff

Talk about the zombie zone