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Question on Pain

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I have a question I hope will spur some conversation on this bright Monday

morning.

Part of determining a patient's level of consciousness is their level of

alertness. If they are not visibly awake, and they do not respond to voice

commands, then it is time to see if pain can elicit a response.

My questions are:

1. What is the latest and greatest in how to subject the patient to pain, what

is/are the technique(s) and duration of performing the action?

2. Does your agency have this spelled out in protocols or is it just what the

medic feels is appropriate?

3. Have you ever seen someone use a test for pain response to determine if the

patient is " faking " their symptoms? (and if so, is this addressed in protocol?)

4. For whatever technique(s) you use, do you know of any science that backs up

that technique as an appropriate way to actually test for what it is you are

testing for?

C'mon on now...I haven't been on here in a while, but I really want to see what

is being taught and performed now a days.

Dudley

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