Date Published

November 10, 2020

Updated For

ALS PCS Version ALS PCS Version 5.2


I have a question regarding analgesic administration in regards to abdominal pain (ex diverticulitis, hernia). If the pt is complaining of abdominal pain stating "it feels just like my diverticulitis acting up" Or due to hernia pain with evidence of a protruding hernia, would it be appropriate to consider analgesic medication if no contraindications are met? Although you are not 100% certain of the underlying cause in the pre hospital setting


Yes.  With the changes to the Analgesia Medical Directive attempted to make things more straight-forward.  As long as they have the indication of pain, the Conditions are met and none of the Contra-indications are met, you can provide analgesia (even if the underlying cause is not 100% certain).



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