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Paramedic Pain Management Practice with Introduction of a Non-opiate Treatment Protocol.

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The introduction of non-opiate pain medications in prehospital care reduced opiate use. Paramedics showed enthusiasm for non-opiates, though concerns about efficacy and side effects influenced their adoption.

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Area of Science:

  • Prehospital Care
  • Pain Management
  • Pharmacology

Background:

  • Concerns exist regarding opiate initiation in healthcare due to misuse risks.
  • Non-opiate alternatives are emerging in prehospital pain management.
  • Limited literature exists on prehospital pain management practice patterns.

Purpose of the Study:

  • To describe paramedic practice patterns and attitudes toward pain management.
  • To evaluate changes after introducing non-opiates into a statewide protocol.

Main Methods:

  • Two-armed study: pre/post retrospective chart review and paramedic survey.
  • Chart review analyzed medication administrations (2017-2018).
  • Survey assessed paramedic beliefs on prehospital analgesia.

Main Results:

  • Opiate analgesic use decreased by 9.4% in 2018 compared to 2017.
  • Women were less likely, and trauma patients more likely, to receive opiates.
  • 85% of paramedics planned to use non-opiates; 35% reported using them, influenced by efficacy and adverse effect concerns.

Conclusions:

  • Non-opiate introduction reduced opiate administration in prehospital settings.
  • Opiate use was higher in men and trauma patients.
  • Paramedic adoption of non-opiates is influenced by perceived efficacy, onset time, and adverse effects.