Shishkabob
Forum Chief
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I don't doubt that she was in pain... I doubt it was severe 8/10 sharp/stabbing "almost worst pain of my life" kind of pain that required Morphine.
Correct, I can't prove one way or the other that they are or are not in pain, and I tend to err on the side of the patient. However, it is my job, as someone in control of narcotics, to decide who does or does not get them. My experience may be limited, but it's not non-existent.
Heart rate normal, BP normal, no increased ventilatory rate, no grimace on the face, none of the classic signs of pain at ALL, let alone for an "8/10 sharp stabbing, horrible" type of pain. Not on beta blockers that would explain the lack of catecholamine signs either.
Yet, when I poke a nice juicy AC, which I can guarantee was not a tendon stick, and THAT causes some of the classic signs of pain, somethings up.
This is why I love Nitronox... every truck should carry it.
You don't give narcotics to every patient that claims 5/10 or higher just because they say so, do you? You look for clinical signs.
PS-- I have needle phobia myself... I can still differentiate between a needle stick and "8/10" pain... and no needle stick has ever caused me to go from an ambient 8/10 to an excruciating 9/10 or 10/10
Correct, I can't prove one way or the other that they are or are not in pain, and I tend to err on the side of the patient. However, it is my job, as someone in control of narcotics, to decide who does or does not get them. My experience may be limited, but it's not non-existent.
Heart rate normal, BP normal, no increased ventilatory rate, no grimace on the face, none of the classic signs of pain at ALL, let alone for an "8/10 sharp stabbing, horrible" type of pain. Not on beta blockers that would explain the lack of catecholamine signs either.
Yet, when I poke a nice juicy AC, which I can guarantee was not a tendon stick, and THAT causes some of the classic signs of pain, somethings up.
This is why I love Nitronox... every truck should carry it.
You don't give narcotics to every patient that claims 5/10 or higher just because they say so, do you? You look for clinical signs.
PS-- I have needle phobia myself... I can still differentiate between a needle stick and "8/10" pain... and no needle stick has ever caused me to go from an ambient 8/10 to an excruciating 9/10 or 10/10
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