Guest guest Posted August 30, 2004 Report Share Posted August 30, 2004 Scratch my p-value remarks. It appears the null hypothesis was that there was no difference, and the p = 0.86 of course does not support abandoning that hypothesis. Re: Re: Stadol vs. Morphine My personal experience (kidney stones....UGH...) has been that ketorolac (Toradol) is very effective in a non-narcotic manner as opposed to morphine. However, as a great doctor once told me, if you're going to give it orally, give ibuprofen; IM, give toradol. For some reason, PO toradol just doesn't work quite as well as IM toradol does, you might as well be using ibuprofen. I've heard toradol referred to as " ibuprofen on crack. " I have seen multiple kidney stone offenders be just as satisfied and experience just as much pain relief from IM non narcotic toradol as from morphine. Same holds true for a lot of severe sprains and strains. Just something to consider from the non-perpetuating drug abusers standpoint. Having said that though, a drug abuser will tell you point blank, " I'm ALLERGIC to toradol, ibuprofen, Tylenol, reglan, etc., BUT 150 mg of Demerol and 50 mg of Phenergan IM usually seem to work just fine... " Just my humble . 02 cents.. Cristi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 30, 2004 Report Share Posted August 30, 2004 I was about two say. But, on the surface even, 64 patients exposed to a rigid protocol compared to a single patient who " thinks IM Toradol works better " . Which evidence appears more likely? Agreed, additional studies have been done. I have not looked at them in a while though. The evidnce overall is compelling. E. Bledsoe, DO, FACEP Midlothian, TX Re: Re: Stadol vs. Morphine My personal experience (kidney stones....UGH...) has been that ketorolac (Toradol) is very effective in a non-narcotic manner as opposed to morphine. However, as a great doctor once told me, if you're going to give it orally, give ibuprofen; IM, give toradol. For some reason, PO toradol just doesn't work quite as well as IM toradol does, you might as well be using ibuprofen. I've heard toradol referred to as " ibuprofen on crack. " I have seen multiple kidney stone offenders be just as satisfied and experience just as much pain relief from IM non narcotic toradol as from morphine. Same holds true for a lot of severe sprains and strains. Just something to consider from the non-perpetuating drug abusers standpoint. Having said that though, a drug abuser will tell you point blank, " I'm ALLERGIC to toradol, ibuprofen, Tylenol, reglan, etc., BUT 150 mg of Demerol and 50 mg of Phenergan IM usually seem to work just fine... " Just my humble . 02 cents.. Cristi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 30, 2004 Report Share Posted August 30, 2004 I was about two say. But, on the surface even, 64 patients exposed to a rigid protocol compared to a single patient who " thinks IM Toradol works better " . Which evidence appears more likely? Agreed, additional studies have been done. I have not looked at them in a while though. The evidnce overall is compelling. E. Bledsoe, DO, FACEP Midlothian, TX Re: Re: Stadol vs. Morphine My personal experience (kidney stones....UGH...) has been that ketorolac (Toradol) is very effective in a non-narcotic manner as opposed to morphine. However, as a great doctor once told me, if you're going to give it orally, give ibuprofen; IM, give toradol. For some reason, PO toradol just doesn't work quite as well as IM toradol does, you might as well be using ibuprofen. I've heard toradol referred to as " ibuprofen on crack. " I have seen multiple kidney stone offenders be just as satisfied and experience just as much pain relief from IM non narcotic toradol as from morphine. Same holds true for a lot of severe sprains and strains. Just something to consider from the non-perpetuating drug abusers standpoint. Having said that though, a drug abuser will tell you point blank, " I'm ALLERGIC to toradol, ibuprofen, Tylenol, reglan, etc., BUT 150 mg of Demerol and 50 mg of Phenergan IM usually seem to work just fine... " Just my humble . 02 cents.. Cristi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 30, 2004 Report Share Posted August 30, 2004 I was about two say. But, on the surface even, 64 patients exposed to a rigid protocol compared to a single patient who " thinks IM Toradol works better " . Which evidence appears more likely? Agreed, additional studies have been done. I have not looked at them in a while though. The evidnce overall is compelling. E. Bledsoe, DO, FACEP Midlothian, TX Re: Re: Stadol vs. Morphine My personal experience (kidney stones....UGH...) has been that ketorolac (Toradol) is very effective in a non-narcotic manner as opposed to morphine. However, as a great doctor once told me, if you're going to give it orally, give ibuprofen; IM, give toradol. For some reason, PO toradol just doesn't work quite as well as IM toradol does, you might as well be using ibuprofen. I've heard toradol referred to as " ibuprofen on crack. " I have seen multiple kidney stone offenders be just as satisfied and experience just as much pain relief from IM non narcotic toradol as from morphine. Same holds true for a lot of severe sprains and strains. Just something to consider from the non-perpetuating drug abusers standpoint. Having said that though, a drug abuser will tell you point blank, " I'm ALLERGIC to toradol, ibuprofen, Tylenol, reglan, etc., BUT 150 mg of Demerol and 50 mg of Phenergan IM usually seem to work just fine... " Just my humble . 02 cents.. Cristi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 30, 2004 Report Share Posted August 30, 2004 Dude, Chill.... you like act like you, like, wrote the book on prehospital care.....Wait....flip, flip, flip. Never Mind !!! -- RE: Re: Stadol vs. Morphine Fentanyl, morphine, nitrous oxide are the only analgesics that should be used in EMS. E. Bledsoe, DO, FACEP Midlothian, TX Quote Link to comment Share on other sites More sharing options...
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