Pain is one of the most common reasons patients call 911—but it’s also one of the most misunderstood. In this episode, we break down how pain management in EMS is evolving from a simple “treat the number” approach to a more thoughtful, physiology-driven strategy.

We explore why pain is more than a symptom—it’s a stress response that can directly impact outcomes—and how relying solely on opioids may be limiting care. From the rise of ketamine to emerging multimodal approaches like nitrous oxide, IV acetaminophen, and regional anesthesia, we discuss what modern analgesia looks like in the field.

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