Discussions By Condition: I cannot get a diagnosis.

please help

Posted In: I cannot get a diagnosis. 5 Replies
  • Posted By: kancha
  • September 23, 2007
  • 06:07 AM

A 45-year-old woman is found outside her car after hitting a tree. The car appears severely damaged. There is no evidence as to how the woman escaped from the car. It is thought that she was able to open her door and then fell from the car. When she is discovered, she is conscious but disoriented and complaining of severe pain of multiple origins. While in route to the emergency department, her pain increases in intensity.
Which medication (NSAIDs or opioids?) might be used to ease her pain immediately upon her arrival at the hospital?

Reply Flag this Discussion

5 Replies:

  • just a guess: opiods...iv morphine
    Anonymous 42789 Replies
    • September 23, 2007
    • 06:16 AM
    • 0
    Flag this Response
  • I agree. The only way to get immediate relief is by direct injection into the bloodstream. Drugs taken by mouth take time for absorption. I don't know of any IV NSAIDs, but I could be wrong.
    aquila 1263 Replies
    • September 26, 2007
    • 06:04 PM
    • 0
    Flag this Response
  • I think I would support her on a spine board with a cervical collar, establish airway, breathing and circulation, , monitor her vital signs and heart rhythm, check for head wounds and fractures and start an I.V. for access in case it was a cardiac event. Before IV Demerol (or whatever). Don't give ibuprofen as it will increase bleeding. Do an EKG and check on her heart. And don't forget, all these should be done at the scene except for the EKG. And preferably all at the same time.
    rad-skw 1605 Replies
    • September 27, 2007
    • 11:49 AM
    • 0
    Flag this Response
  • rad, such a teacher's pet :P I'd do everything rad said too, but that's NOT what was asked - she/he asked specificially whether opioids or NSAIDS should be given at the hospital for intense pain relief upon arrival! This is exactly why I only got B+s in school!!! The rads all got the A+s! Curse you, rads of the world, curse you:D !!
    Anonymous 42789 Replies
    • September 27, 2007
    • 03:08 PM
    • 0
    Flag this Response
  • Fauve, you made me laugh...but I'm thinking of the posters from third world countries with limited established protocols for emergencies. I always cringe when I see news about some event , and the people are man-handling an injury and throwing them into ambulances. As you can tell, I always head for the worst-case scenario and the point I was trying to make was, even if the patients are screaming their heads off, do a rapid assessment first. See, I still can't stick to the question!:D
    rad-skw 1605 Replies
    • September 28, 2007
    • 11:43 AM
    • 0
    Flag this Response
Thanks! A moderator will review your post and it will be live within the next 24 hours.