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>I need evidence to support the need to withhold Entonox and Nubain from a
patient with and apparent minor head injury to relieve moderate to severe
pain from fractures.<
Mike, I seriously doubt any evidence exists!! As other contributors have
suggested, it is far better to relieve pain & anxiety in a head injured
patient to:
1. Be humane
2. Thrashing , screaming etc all raise ICP & may cause a head injury to
worsen. Effective analgesia should not be withheld.
Opiates are readily reversible, so I don't have a problem with giving them.
Hope you get something clearer sorted out!
John Apps
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