Boston EMS TV Show

[CALEMT]

I'm just saying not everyone needs pain meds.

Just who qualifies for pain medications then? Certainly a knee dislocation is a pretty good qualifier. How about burns? Broken bones? All ice and splinting would do is help reduce swelling and prevent further damage. Not so much pain control.

 

[ERDoc]

No pain meds for dislocations? I'm going to try that today and see how it goes. Maybe I'll try a few reductions without sedation too.

 

[teedubbyaw]

Evan, do you think someone having a STEMI with chest pain needs pain management?

No pain meds for dislocations? I'm going to try that today and see how it goes. Maybe I'll try a few reductions without sedation too.

If you pull hard enough something is bound to happen, right? huehuehuehue

 

[Flying]

No pain meds for dislocations? I'm going to try that today and see how it goes. Maybe I'll try a few reductions without sedation too.

At least you won't be a robot working for big pharma.

 

[ERDoc]

At least you won't be a robot working for big pharma.

Who says I'm not? I push vaccines pretty hard and love my shillbucks.

 

[evantheEMT]

Just who qualifies for pain medications then? Certainly a knee dislocation is a pretty good qualifier. How about burns? Broken bones? All ice and splinting would do is help reduce swelling and prevent further damage. Not so much pain control.

Reduce swelling is very important and again just because someone has a broken bones doesn't mean you should shoot them up with pain meds.

 

[evantheEMT]

Generally speaking, people in pain could stand to benefit from pain control medication. Maybe not from opioids, but that's a different discussion.

Just RICE it and suck it up bro is not a treatment plan.

Just giving pain meds isn't a treatment plan either.

 

[ERDoc]

just because someone has a broken bones doesn't mean you should shoot them up with pain meds.

Interesting point of view, that pretty much anyone who practices medicine will disagree with. Why would you want to allow someone who is in serious pain to continue to suffer?

 

[teedubbyaw]

Reduce swelling is very important and again just because someone has a broken bones doesn't mean you should shoot them up with pain meds.

Because an ambulance is a taxi service who provides boyscout remedies only.

 

[LACoGurneyjockey]

Reduce swelling is very important and again just because someone has a broken bones doesn't mean you should shoot them up with pain meds.

Just giving pain meds isn't a treatment plan either.

These two posts so perfectly exemplify the lack of education involved in an EMT course, and the difference between ALS and BLS mentality. Yes, of course it's a treatment plan. You're treating their pain and suffering. No, you're not placing a cast and resetting bones, but I don't think anyone here expects that prehospitally. If broken bones and severe pain are not indications for analgesia, then (as has been asked of you already) what is an indication.

 

[evantheEMT]

These two posts so perfectly exemplify the lack of education involved in an EMT course, and the difference between ALS and BLS mentality. Yes, of course it's a treatment plan. You're treating their pain and suffering. No, you're not placing a cast and resetting bones, but I don't think anyone here expects that prehospitally. If broken bones and severe pain are not indications for analgesia, then (as has been asked of you already) what is an indication.

I forgot you're a medic that means you know everything. Lol you guys are pathetic trying to boost your ego on the Internet.

 

[evantheEMT]

I forgot you're a medic that means you know everything. Lol you guys are pathetic trying to boost your ego on the Internet.

Also splinting, icing and elevation is also a treatment plan so try again Mr medic.

 

[Carlos Danger]

Reduce swelling is very important and again just because someone has a broken bones doesn't mean you should shoot them up with pain meds.

Is there any scenario where you think a paramedic SHOULD shoot someone up with pain meds?

 

[LACoGurneyjockey]

Is there any scenario where you think a paramedic SHOULD provide ANY ALS treatments?

Fixed that for you, and to gain some insight into the brilliance that is Evan.

Also splinting, icing and elevation is also a treatment plan so try again Mr medic.

Evan, you realize ALS does everything BLS does too right? So splinting, ice, and elevation for an extremity injury would happen anyway. Unfortunately, your treatment plan results in a patient's prolonged suffering. I'm not sure why you're advocating that.

 

[Jim37F]

When I broke my tib/fib at scout camp years ago, it was painful as all heck, I didn't get an EMS response due to remote location, just some splinting and POV to the local hospital (off the top of my head it was something like a 45min to an hours drive away)...not too dissimilar from a typical BLS for a lower extremity fx. Let me tell you, if I had got 4 of morphine from the camp nurse before transport, it would have made the whole ordeal SOOO much more easier and tolerable, and when the ER doc set my leg by hand (I got my first dose of pain meds 5min before that) it probably would've been a less torturous experience having already dulled the pain before...

But none of that matters right? We're only here to save lives at 70mph doing cool things like CPR and major multisystem traumas and other Hollywood stuff right?

 

[CALEMT]

I forgot you're a medic that means you know everything. Lol you guys are pathetic trying to boost your ego on the Internet.

Also splinting, icing and elevation is also a treatment plan so try again Mr medic.

Sounds like you're the one who needs the ego boost trying to argue something WAY out of your scope of practice with someone that has a higher level certification than you. Why are you so against ALS? Did you mouth off to a medic about treatment/transport decisions and get your *** chewed? Is this a personal vendetta?

Please explain why someone IN PAIN should not receive pain medication? We're all dying for your justification for this outlandish reasoning.

 

[TransportJockey]

I forgot you're a medic that means you know everything. Lol you guys are pathetic trying to boost your ego on the Internet.

You do know that one of the members who is disagreeing with you is actually a doc? We actually don't try to boost our egos as much as help try and educate ignorant providers such as yourself.