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Musculoskeletal Pain Medical Directive

A Primary Care Paramedic or an Advanced Care Paramedic may provide the treatment prescribed in this Medical Directive if authorized.

Indications

Minor musculoskeletal pain;
AND
Special event: a preplanned gathering with potentially large numbers of people and the Special Event Medical Directives have been preauthorized for use by the Medical Director.

Conditions

Acetaminophen
Age ≥18 years
LOA Unaltered
HR N/A
RR N/A
SBP N/A
Other N/A

Contraindications

Acetaminophen
Acetaminophen use within previous 4 hours
Allergy or sensitivity to acetaminophen
Signs or symptoms of intoxication

Treatment

Consider acetaminophen
   Route
PO
Dose 325-650 mg
Max. single dose 650 mg
Dosing interval N/A
 Max. # of doses 1
Consider release from care

Clinical Considerations

Advise patient that if the problem persists or worsens that they should seek further medical attention.

Contact

Ministry of Health and Long-Term Care
5700 Yonge Street, 6th Floor
Toronto, ON M2M 4K5

416-327-7900

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