EMCrit Blog
"Opioid-Free Shift in the ED Suggested Protocols
The rational of an opioid–free shift in the ED is to evaluate the feasibility of controlling acute painful conditions without oral and parenteral opioid analgesics by using alternative multimodal pain –mediated receptors/channels targeted analgesia(RCTA) as initial treatment modalities. All patients to be eligible for rescue opioid analgesia (morphine, fentanyl, hydromorphone) at 20 min if pain is still severe enough and warrants parenteral analgesia."
http://emcrit.org/podcasts/opioid-free-ed/