As an EMT, I know we are not allowed to administer anything other than O2. If the pt has an inhaler or SL nitro, we can assist them with self-administration, but other than that, no meds. As a paramedic, there are more meds that can be administered if directed by Medical Control, but I do NOT believe that they include narcotics in any state. Not positive, but I really don't think so. In an emergency situation, generally the LAST thing you want is to alter their S&S (other than ABCs) before they get to the ER. If a patient got to the ER medicated, how would the MD figure out what was wrong? *DISCLAIMER: I may be completely f***ed in the head, ya never know..*