This should be the new standard. The current scale isn't working. Especially w/ "Chronic Pain (in the ass) Patients". They always say that their pain is a 10, while the little old lady riddled with cancer calmly says that she's a 5 and the CTAS 1-2 industrial trauma case is "sore, but maybe it's a 6 or 7, tops." Oh that and malingerers w/ pain of unknown etiology: "It's a 10 doc! More like a 15!" Then as they're waiting at the pharmacy (complete with histrionic dramatics and groaning, of course): "C'mon doc (?)! I'm hurting here (groan)! How much longer (louder groan)??" Once they get their rx. for narcs. and benzos: (to pharmacist/pharm. tech; calmly, as if their pain magically disappeared) "Check out these cool pictures of this bike that I saw. Isn't that cool?! Do you want to see my pictures of my dog wearing sunglasses? (pharm. rolls eyes and tells pt. to leave)" The same pharmacy antics apply to Chronic Pain Pts., only more so.
So true that it's not even scary anymore; it's reality. A couple of my buddies in EMS have had times where they gave Narcan to the pt., bring the pt. back, the pt. goes into W/Ds and then tries to rob the Paramedics for their narcs. Of course pt. doesn't realize that Paramedics have radios. Pt. gets busted but pleads w/ LE not to arrest him because he's in W/Ds . Many of the Paramedics here are wearing ballistic or spike vests now. "We save your life. You try to take ours" as one buddy put it. I'm a huge supporter of the Narcan kits for users but they usually administer it wrong or go into W/Ds, use again and then arrive in emerg as a CTAS 1 case w/ PEA shortly after. Little doubt as to which of the "Five Ts" caused it. Or the ubiquitous 'car pulls into emerg parking lot, dumps pt. out and takes off' cases. Always a favourite w/ users. The fentanyl crisis is just making things that much worse. I remember a pt that went flat from a fent OD, was resus'ed, bragged about going flat and surviving and then died a month or two later from a fent OD. It's madness out there. Throw in crystal meth and it's a nightmare.