Pain Management
modified June 2023
Previous was "Pain Management in Trauma", nothing else was changed.
modified June 2023
Previous was "Pain Management in Trauma", nothing else was changed.
Pain management is important. The only barriers to the usage of effective pain management are allergies and unstable vital signs.
Ask patient &/or family members about allergies to any medications.
Requirements for pain medication usage:
a. No allergies to pain medications
b. Systolic blood pressure (SBP) > 90 mm Hg
c. Continuous cardiac monitoring
d. IV access
Pain control:
a. FENTANYL 50 - 100 mcg IV every 5 - 10 minutes as needed for effective pain control. Contact Medical Control if repeated doses required.
Option: FENTANYL 1 – 4 mcg/kg IM/IO/IN every 5 – 10 minutes.
Option: MORPHINE 2 – 5 mg IV every 5 – 10 minutes.
b. If level of consciousness decreases OR RR < 10 OR SBP < 80, cease administration of fentanyl and administer NALOXONE (Narcan) 2 mg IV. If this is successful, you may repeat as needed enroute.
c. If SEVERE pain not adequately controlled with narcotics, you may consider KETAMINE 0.5 – 1 mg/kg IV. Re-bolus as needed during extrication.