Without evidence of benefit, an intervention should not be presumed to be beneficial or safe.

- Rogue Medic

EMS Garage Rant – Prehospital Pain Management


On BYOT: EMS Garage Episode 105 we discussed 2 things that I wanted to rant about – here is some of the second rant.

The second topic was prehospital pain management. I think that Chris Montera saw my post A Prehospital Pain Management Discussion at the NAEMSP Site and wanted to discuss it. There is a lot of excellent material at the NAEMSP discussion site.

There are a lot of ideas discussed on the podcast.

Listen to it.

Why are there so many doctors discouraging appropriate patient care?

What can we do to convince them that prehospital pain management is safe, effective, and necessary?

This is not directed at Chris, since he is aggressive with pain management. He was only repeating one of the arguments against aggressive prehospital pain management – actually, it is an argument against all prehospital pain management.

I scared Chris a little bit with my response, when he repeated what some people claim about pain – Pain never killed anyone!

If anyone wishes to provide some evidence, please do so.

If there is no evidence to support this claim, then prove it. Let me deliver some extreme pain to you, just for a while. I won’t break anything or burn anything, but I will see if I can cause enough pain to kill you.

If Pain never killed anyone!, it won’t kill you either.

What have you got to lose?

You will have experienced some memorable pain. You may have nightmares and other PTSD (Post Traumatic Stress Disorder) symptoms, but since you have already made it clear that you don’t take pain seriously, why should you mind?

We’ll strap you to a chair, so that you don’t injure yourself by thrashing around. Safety first. We’ll hook you up to a monitor to see just how much stress your body is experiencing. We’ll even get a medical director, who believes in Mother-May-I protocols, to supervise. What could be safer – if you are right?

Pain is not dangerous, this is completely safe – Right?

If pain does not need to be treated, then there is no medical problem created by just causing a bit of pain – OK – a lot of pain. Or is pain dangerous?

Pain never killed anyone!

I dare you to prove to me.

Put up or shut up.

I can be reached at the email below or in the comments.

roguemedicblog@gmail.com

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