Goal: Irrigating, debriding, repairing, and bandaging wounds can be painful for the patient. Analgesia is often necessary to facilitate wound care and sedation may be required for more severe wounds.

  1. 1% or 2% lidocaine (with or without epinephrine)
  2. Oral (i.e., by mouth [PO]) acetaminophen and meloxicam
  3. PO acetaminophen/oxycodone (e.g., Percocet; Endo Pharmaceuticals, http://www.endo.com)
  4. Oral transmucosal fentanyl
  5. IV/IM ketamine
  6. IV morphine, hydromorphone, or fentanyl

Local anesthetic notes:

See the Analgesia and Sedation CPG for PFC for a more comprehensive summary.