pain management

We never treat our neurosurgical patients for pain with any narcotics. They get Tylenol or another NSAID (depending on risk of bleed).

I work on a neurosurgery/trauma unit and I would say that each neurosurgeon/ trauma MD has his/her own recipe for pain management. Some like to medicate patients with ALOC, some don't. Generally, we determine pain of
apatient who is ALOC or comatose by baseline vitals or asking family about pt's usual pain tolerance. After consulting with the doctor, we may titrate Morphine or Demerol. TKS, Zenith