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11 minutes ago, paramedicmike said:

Analgesia does not inhibit or prohibit adequate or accurate evaluation of a patient or a patient's pain.  It's discouraging to see from this discussion that there are providers out there, specifically the two docs 1EMT-P encountered, who are unaware of this by both literature and direct practice.

I agree.  I was flabbergasted at what my pain management doctor did an how he treated this patient I brought to him.  that is why I reported him with his refusal to treat the patient initially.  thank goodness he relented and treated her appropriately in the end and I have to admit that she was treated very very appropriately and tolerated a very rough ride back to our facility with minimal pain as he wrote orders for pain relief on the trip.  If she began to exhibit any pain on the trip back she had orders for meds.  


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