Comparison of intravenous morphine and paracetamol
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Comparison of intravenous morphine and paracetamol

Justin Walford Charge nurse, Royal Sussex County Hospital emergency department, Brighton

Justin Walford asks whether the use of opiates can be kept to a minimum even in patients with isolated limb trauma and high initial pain scores

One of the main complaints from patients who present to emergency departments with illness or injury is pain, yet often this is not well managed in emergency settings. Nurse prescribers are in an ideal position to make a rapid assessment and then prescribe and treat patients’ pain, and must quickly decide which is the safest and most effective drug for each individual. This article compares intravenous morphine with intravenous paracetamol for managing pain in patients with isolated limb trauma who then require manipulation under sedation. A case study examines the decision-making process.

Emergency Nurse. 23, 5,24-27. doi: 10.7748/en.23.5.24.e1373

Correspondence

justin.walford@bsuh.nhs.uk

Peer review

This article has been subject to double-blind review and has been checked using antiplagiarism software

Conflict of interest

None declared

Received: 19 September 2014

Accepted: 06 August 2015