We had only one call last night an MVC right in front of the station, I also got 2 more assessments out of it and got to push my first drug dose Morphine SQ, Only because we could not get a line started and she was in some pain. Only 5 more assessments to go YAY.

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Comment by Alisha on December 2, 2008 at 6:54pm
Our local services don't use butterflys but why not IM? Im not sure IO is a good method unless the patient is spiraling downward quickly and about to crash - but minor injuries from an MVC? IM morphine! Or fentanyl, our services don't carry fentanyl here, but in the ER it works like a short-term Charm - perfect for EMS!
Comment by John on December 1, 2008 at 9:04am
The lady was in some pain but quite honestly I am not sure that we would use an IO for a conscious patient, but never know. as for calling it a push that is more of just a general term we use, not the actual doing it.
Comment by Paul Montpetit on November 30, 2008 at 9:15pm
They got you there John...and by the way...a SQ injection is not a "push"....BUT....keep at it....You will get it.....I know If I did it then anyone can.....LOL Paul
Comment by Oldman on November 30, 2008 at 7:15pm
We use Fentanyl for trauma pain mgmt, but IV or IO, What ever happened to EJ's? I used to love "stabbing" people in the neck.
Comment by Mike Schlags (Captain Busy) Retd on November 30, 2008 at 2:50pm
why subcutaneous? and you could not get a line started? not even a butterfly? Where I work, medics can perform IO drug administration... this is not in your protocols?

IO-Inter Osseous or into the bone... this works in a pinch where you need to get drugs on board unless you are dealing with a child or elderly person...
Comment by Chris Harris on November 30, 2008 at 12:45pm
Comment by anne potter on November 29, 2008 at 11:42pm
Yea Morphine medic John can I have some please.. I hurt..... Good job

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