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RE: Re: Stadol vs. Morphine

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Posted

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

Posted

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

Posted

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

Posted

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

Posted

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

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