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Message from discussion Prehospital Pain Management
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Mic Gunderson  
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 More options Sep 24 2010, 9:17 am
From: Mic Gunderson <mic.gunder...@gmail.com>
Date: Fri, 24 Sep 2010 06:17:07 -0700 (PDT)
Local: Fri, Sep 24 2010 9:17 am
Subject: Re: Prehospital Pain Management
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(Re-posted an behalf of Charles Krin [to keep the discussion in the
same thread])

Jason:

In your study, did you notice a problem with histamine release or
other
forms of morphine intolerance?

ck

(Charles S. Krin, DO, retired FP, ED and EMS physician)

On Sep 24, 9:12 am, Mic Gunderson <mic.gunder...@gmail.com> wrote:

> (Re-posted on behalf of Jason Bendall [to keep the discussion in the
> same thread])

> Hi Jason Bendall here from the Ambulance Research Institute in Sydney.
> In our recent publication (Prehospital Emergency Care 2010;14;439-447)
> there was no compelling evidence that combinations were more effective
> than morphine alone. Our service has used methoxy, morphine and IN
> fentanyl alone or in combination for some time. Based on our results
> we encourage our paramedics to use morphine as first line for
> moderate / severe pain as it appears the most effective option. That
> being said, methoxy is an effective agent in its own right. In answer
> to your question though, there is no issue with giving methoxy and if
> inadequate giving an opioid. I am of the view however that if
> possible, give morphine initially as it is associated with much higher
> odds of effective analgesia.
> Dr Jason Bendall
> MBBS MM(ClinEpi) PhD FACAP
> Intensive Care Paramedic


 
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