Many patients transported will be in pain. Morphine sulfate is a powerful and safe pain relieving agent. This protocol is intended to give specific guidance for when this agent may be used. Morphine is only to be used for severe pain when patient movement or long transport time outweigh the risks of its use. The usual contraindications to the use of morphine apply including hypotension, altered mental status, and question of drug seeking behavior.

1. Indications
   1. Isolated injuries, including fractures and dislocations, of the extremities.
   2. Burn patient with no evidence of possible smoke inhalation or respiratory compromise.
   3. Chest pain suggestive of MI or unstable angina.
   4. Pain control for Interfacility transport after Physician Diagnosis.

2. Contraindications
   1. Hemorrhagic Shock
   2. Undiagnosed Abdominal Pain
   3. Multi-systems trauma
   4. Altered Level of Consciousness

3. Dosage
   1. Adult 2mg Slow IV Push (titrate to pain up to 10mg in 2mg increments).

4. Medical Control
   1. EMT-I must obtain Medical Control orders prior to administration of Morphine.

1. Indications
   1. Isolated injuries, including fractures and dislocations, of the extremities.
   2. Burn patient with no evidence of possible smoke inhalation or respiratory compromise.
   3. Chest pain suggestive of MI or unstable angina.
   4. Pain control for Interfacility transport after Physician Diagnosis.

2. Contraindications
   1. Hemorrhagic Shock
   2. Undiagnosed Abdominal Pain
   3. Multi-systems trauma
   4. Altered Level of Consciousness

3. Dosage
   1. Adult 2mg Slow IV Push (titrate to pain up to 10mg in 2mg increments).

4. Medical Control
   1. EMT-P must obtain Medical Control orders prior to administration of Morphine for non cardiac pain control.