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View Full Version : Pain management...? No opinions please, just facts.


Sourdough
09-12-2011, 02:19 PM
I have several different pain management pills. Some want food in stomach. I don't want a six page essay. But a short blunt, to the point paragraph that can go into the kit about different types of pain management. Please no opinions, just the facts.

Example: fell off cliff, multiple compound fractures.

Example: knees hurt so bad you can't proceed.

Example: hand crushed.

Example: extreme pain in lower abdomen.

Assume in all examples no medical help for 4 days.
Rick
09-12-2011, 02:44 PM
I'm not sure what you are wanting. You already have the pills so what are you asking for?
BENESSE
09-12-2011, 02:46 PM
Start here:
http://www.vaughns-1-pagers.com/medicine/painkiller-comparison.htm

Draw your own conclusions.
BENESSE
09-12-2011, 02:53 PM
Important stuff to keep in mind:
http://www.msnbc.msn.com/id/44428730/ns/health-pain_center/#.Tm5UjE_TlGw
Sourdough
09-12-2011, 04:27 PM
Start here:
http://www.vaughns-1-pagers.com/medicine/painkiller-comparison.htm

Draw your own conclusions.

Thanks, Lady B. that is roughly what I was looking for.
Tony uk
09-13-2011, 12:04 PM
To some of the situations you describe above i believe the pain would eventually subside when you go into shock due to loss of blood, but in any case if you focus on getting out/staying alive im sure you wont think about the pain too much.
Rick
09-13-2011, 12:40 PM
SD - Just remember that if you take an oxycodone or opioid based narcotic for pain management you may be rendered incapable of doing anything else. If you are alone and in a bad situation you only want enough pain management to take the edge off and still be able to focus on the tasks that may be at hand. You may need to rig up some type of shelter, even if it's pulling a tarp or jacket over your head to keep the rain or snow off. Pop an oxycontin and you may spend that time sleeping.

I discussed this very situation at some length with my doctor and that's why we settled on Vicodin. It will keep the worst pain at bay and still leave you with your faculties to be able to think through your next move. You probably won't want to be snoozing when that more than puzzled bear comes to check out your snoring.

Tony - Good to see you back! You've been away too long.
Sourdough
09-13-2011, 02:34 PM
SD - Just remember that if you take an oxycodone or opioid based narcotic for pain management you may be rendered incapable of doing anything else. If you are alone and in a bad situation you only want enough pain management to take the edge off and still be able to focus on the tasks that may be at hand. You may need to rig up some type of shelter, even if it's pulling a tarp or jacket over your head to keep the rain or snow off. Pop an oxycontin and you may spend that time sleeping.

I discussed this very situation at some length with my doctor and that's why we settled on Vicodin. It will keep the worst pain at bay and still leave you with your faculties to be able to think through your next move. You probably won't want to be snoozing when that more than puzzled bear comes to check out your snoring.

Tony - Good to see you back! You've been away too long.

Rick, This is the heart of the OP, what to take for knee pain, and what to take for falling off a cliff. The thing that goofs everyone up is they can't grasp the idea that we are days or weeks from professional medical help.
Rick
09-13-2011, 05:05 PM
I'm fortunate (I guess) that I have a high tolerance for pain unless it's a headache. Headaches crush me. But that aside, I try to divide my pain into 4 self defined classes. Overuse (strains, sprains, arthritis, etc), annoying injury (scrapes, cuts, burns, etc), Severe injury (dislocation, broken bone, laceration), Unknown cause (abdominal distress, illness).

For overuse and annoying injuries I rely on OTC like acetaminophen. For severe injury, the Vicodin. The unknown cause is troublesome because you don't know the exact cause and may need to triage yourself and make a decision of how serious the problem really is. Just treating the pain may be the wrong approach.

I think the key here is not just knowing which medication but how each medication affects YOU and what side affects YOU have with them. Some can take a flexeril and be wiped out for a day while someone else hardly notices it. Knowing that ahead of time will pay dividends if something happens.
COWBOYSURVIVAL
09-13-2011, 06:40 PM
Pain....just turn off the switch, it is that easy for me. Especially if a life is at stake (including mine, but not limited to me or mine, I have hurt good for an animals sake a few times, part of owning horses). I just say to myself well durn that hurt pretty good!
Sourdough
09-13-2011, 08:23 PM
http://forums.outdoorsdirectory.com/showthread.php/104696-Brown-Mountain-Goat-NOT-Good?highlight=Brown+Mountain
BENESSE
09-13-2011, 09:14 PM
I've experienced enough pain in all sorts of forms to appreciate what it can do to me, and what I can do to get through it. The only type of pain that gives me pause is the incapacitating kind that comes from injury. Like the two times I broke my shoulder on the slopes. I've replayed that film in my head many times, imagining myself completely alone. What would I do, how would I manage?
Well, if I could have lessened the pain I could have gotten up and at least walked to get help instead of waiting for it.
It's what professional athletes sometimes do--take pain killers (usually shots) so that they can play despite their injury. That would be extremely useful in a situation SD is describing. We're talking extreme circumstances not your every day outings. So yeah, if there was something like an EpiPen for pain I'd love to have it in my BOB. Anything to minimize pain but not affect my brain.
Rick
09-13-2011, 09:32 PM
I know SD said he had the scripts but I seriously urge anyone that spends time outdoors to have a frank talk with their doctor. If you have any type of relationship at all they should not have a problem giving you a short term supply of something like Vicodin. If they gave you a three day supply that should be enough to cover you until helped arrived (aside from AK folks). And if you live in AK then the docs have a clear understanding of what you are up against so they should be even more understanding.
crashdive123
09-14-2011, 06:11 AM
I hope you find what you need and that you never need it.
Sourdough
09-14-2011, 12:13 PM
I hope you find what you need and that you never need it.


Thanks, Crash. That thread on the Alaska Outdoor Forum, made me realize that even the PLB and the satellite phone have their limits if the weather has Search & Rescue pined down for a week. I kept thinking what if I was him, and what if his buddy found him still alive, but in extreme pain.
crashdive123
09-14-2011, 07:28 PM
Thanks, Crash. That thread on the Alaska Outdoor Forum, made me realize that even the PLB and the satellite phone have their limits if the weather has Search & Rescue pined down for a week. I kept thinking what if I was him, and what if his buddy found him still alive, but in extreme pain.

I think your approach is a wise one. I've been in extreme pain a few times in my life due to injury. The worst - a motorcycle wreck - I was able to fight through the pain to hang the exhaust with a coat hanger found on the side of the road, get the bike running, ride it to my apartment. I pulled into the parking garage and my roommate was there washing his car. I fell over and needed help to get to his car for the ride to the hospital. I was able to function for about an hour on adrenaline (or maybe while in shock). After that I needed pain meds badly (11 broken bones and 2 dislocations). I don't think I would have done so well if I had to wait a few days for help.
Phaedrus
09-27-2011, 03:15 AM
Pain meds could be lifesaver if you're with a group. Although rare, it does seem that people have died from extreme pain. Certainly it could be a stress factor that could aggrevate other problems like a heart condition.

Unfortunately for me Vicodan has virtually no effect. I don't know, it's no better than Ibuprofen for me.
Rick
09-27-2011, 07:37 AM
Each person has a different reaction to various chemicals. That's why it's important to work with your PCP to find what's right for you. I just don't see any reason why a person should have to be in the back country and deal with severe pain on top of some injury. That pain can prevent you from focusing on what you need accomplish and with today's pharmaceuticals it's just to easy to find the right mix that will take the edge off and still let you function.
Josephastill
11-12-2011, 12:49 AM
last year I had a large boar smash my hand against some penning. He broke the fifth metacarpal on my right hand. I stayed at work and finished out the day with two aleve. Anti-inflamatory. that helped. If I took a Vicodon, id puke. they make me sick. upset stomach, id just have to bear down and suck it up. ive done this many times in the Corps when you have no choice, puking and all, you will finish the mission regardless of duration. Any kind of pain it is nice too have a pill. I keep some motrin, asprin, tylenol, and aleve. Most pain can also be treated with herbs. Im still trying to study up on them. thats another reason I love this site.
180 Degrees Out
11-30-2011, 02:36 AM
Thank you Benesse. My wife has had crippling RA for over 40 years and has used many of the meds listed. I found the original study and it was helpful for us and have passed site info on to some others in her RA group.
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