In our cpg's morphine is not contraindicated but is also not recommended for a headache
Does anyone know why ?
Yeah, I'd be very reluctant to give, or even ask to give, morphine prehospitally for a headache. The reason I asked about protocols is that even OTC meds can be bad for patients, and I don't think I'd give even ASA for headaches unless the medical director were on board with that.
We also had APAP in our adult pain protocol, I never gave it. We didn’t carry it. And when I asked people if they took anything for their headache like Tylenol or ibuprofen they always looked at me like I had two heads. Easier to put ‘em in the truck and go to the hospital.
What should be the EMS go-to for headache (besides dimming the lights & an ice pack)?
I had this just the other day. It was supportive care to the ED. I contemplated a lock, but withheld it.I think I've only once ever ordered an opiate for a migraine and it was a few hours in to their treatment after giving reglan, toradol, benadryl, fluids, and compazine. My experience is that reglan is a the best first line medication. Honestly, I do not think EMS should get into the habit of treating migraines in any capacity. Unless there is something else to treat, it's a BLS run.