Question: An ACP is doing an inter-facility transfer of a 16 year old patient with a fracture. During the journey the patient's pain becomes severe in nature. The sending facility had been administering 1mg doses of Morphine with good effect however the medical directives would indicate that the paramedic should administer a 3mg dose of Morphine.

Can the paramedic elect to give a lower (1mg) dose since it has been already proven to be "the right dose" for this patient, or does this require consultation with a BHP

Excellent question. The dose of 0.05 mg/kg with a maximum single dose of 3mg is a suggested dose. If 1mg has been shown to be effective for managing the patients pain symptoms then continuing that dose would be appropriate.

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