Question: My question relates to analgesia that I can provide patients as an ACP. If I have a patient that meets the indications and conditions for Morphine or Fentanyl under the ACP Core Pain Medical Directive, and if the patients discomfort is improving with the administration of the above narcotic analgesic, is it a requirement that I must proceed to administer Ketorolac?

Thanks for your question.  The consensus of the SWORBHP Medical Council was that if a patients pain is improving with Morphine or Fentanyl, then it is acceptable for Advanced Care Paramedics to not administer Ketorolac.

Analgesia,Pain/Sedation/Nausea

Advanced Care Paramedic (ACP)

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