So let’s say you have a priority one trauma patient with open fractures to the radius & ulna plus tibia & fibula plus free fluid in the abdomen. The patient’s vital signs are BP 100/60, HR 120 ST, RR 24, Spo2 95% on 2 LPM. The patients pain is 10 on a scale of 1-10. The ED that is transferring the patient has hung a unit of blood and gave orders for 0.1 mg/kg of Ketamine for pain. Plus 4 mg of Zofran IV x1 dose. This made the patient comfortable, but 1 hour into a 3 hour transport the pain returned. The medical command physician is contacted, but refused to treat the patients pain. What do you do?