Monday, November 19, 2012

Pain or something like it


Medical bloggers love to bang on about the 1-10 pain scale, usually to comic effect.  Here's my contribution, but with cynical intern burn-out substituted for comic effect:

So, the 1-10 pain scale, eh?  In my experience, there's no need for anything so elaborate.  There are only 4 actual subcategories of pain.

1-4. Bearable pain.  Take paracetamol (known in the USA as epinephrine.  No wait, that's something else. Forget it.).
5. Unable to articulate character, site, severity, onset etc etc etc.  Refer to a general medical team.  They love these guys.
6-10. Severe pain. Give opioids and request a general surgical review.  They'll need a baseline before the patient re-presents with constipation from all the opioids you gave them.
11. Drug seeker. Or renal colic.  Either way, some indomethacin up the butt will give someone some relief.

Ha.

No comments: