Systolic BP >90 mmHg, no altered level of mental status, multi-system trauma, or abdominal pain
Ketorolac 15 mg IVP or 30 mg IM (no repeat); avoid in patients likely to go to OR, NSAID allergy, aspirin sensitive asthma, known peptic ulcer disease, pregnant, or nursing
Morphine 1-5 mg IV/IM every 10 min, max total 15 mg, titrated to pain and SBP >90 mmHg
Fentanyl 25-50 mcg slow IV every 5 min, max total 150 mcg
For hypoventilation from opiate administration by EMS, Naloxone 0.4 mg IV prn