Zofran and our n/v protocol. Can someone explain?

[Spock]

The best treatment I know of for motion sickness is a scopolamine patch. The onset of action limits its use in the prehospital setting. Zofran may help but won't completely prevent nausea from motion sickness.

Live long and prosper.

Spock

[gvandellen]

The best treatment I know of for motion sickness is a scopolamine patch. The onset of action limits its use in the prehospital setting. Zofran may help but won't completely prevent nausea from motion sickness.

Offer them a Ginger Altoid. I have on me all the time in the rig.

[AnthonyM83]

It boggles my mind that you guys actually have meds for nausea / vomiting. That's a BLS transport for us....

[akroeze]

Anthony: What about an MI patient who is very nauseated. Do you really want their heart to go through the stress of upchucking?

Gravol (Dimenhydrinate) is the gold standard here.

[fiznat]

It boggles my mind that you guys actually have meds for nausea / vomiting. That's a BLS transport for us....

Also, sometimes our own interventions will induce nausea and vomiting. Morphine has this effect on some people. What's the point of reducing pain if all we are doing is replacing it with nausea?

[zmedic]

It boggles my mind that you guys actually have meds for nausea / vomiting. That's a BLS transport for us....

Where I used to work we covered a bunch of long canyons. Not a bad idea to be able to handle N/V when you are stuck with an ALS patient who has to stare out the back window at twisting road for 45min

[triemal04]

It boggles my mind that you guys actually have meds for nausea / vomiting. That's a BLS transport for us....

Yeah...nothing wrong with letting someone vomit into a bag for 10 minutes or so...not like we should bother to try and take care of that or anything...after all, the patient doesn't care.

[Riblett]

Phenergan has been replaced by generic Zofran in our protocols as well. I think a lot had to do with the cost, because shortly after the generic was released the change occurred. The rational explaination given by the powers that be was that phenergan was being given improperly and in too high dosages. This resulted in patients being obtunded and groggy while at the ER and making the ED docs job too hard.

[JPINFV]

It boggles my mind that you guys actually have meds for nausea / vomiting. That's a BLS transport for us....

But I thought that in fire based systems everything except full arrests and really kewl traumas were BLS. After all, you don't want to keep the firefighters from missing the latest episode of Saved.

[spenac]

Phenergan has been replaced by generic Zofran in our protocols as well. I think a lot had to do with the cost, because shortly after the generic was released the change occurred. The rational explaination given by the powers that be was that phenergan was being given improperly and in too high dosages. This resulted in patients being obtunded and groggy while at the ER and making the ED docs job too hard.

Phenergan always made for a nice quite trip to the hospital. :wink: