Date Published

October 12, 2023

Updated For

ALS PCS Version ALS PCS Version 5.2


In regards to the analgesia directive, should we withhold pain medication in the event that the mechanism of injury is severe even if the patient has no obvious signs of a head injury or a bleed? For example: a car accident at very high speeds where pt is only complaining of severe back pain, no LOC or confusion, would it be appropriate to give either Advil/Tylenol or toradol since there are no obvious contraindications or would it be better to withhold since the mechanism of injury is serious enough that they would still be possibilities?


If the patient meets the Indications/Conditions and none of the Contraindications, you may go ahead and administer the analgesia.



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