Question: I had a question about the ACP Pain Management Medical Directive. I can give 4 doses of 5mg max of morphine (a total of 20mg).  If I give a loading dose of let’s say 4mg to achieve the desired effect then I could give maintenance doses of 2mg every 5 min to keep the patient’s pain controlled. So instead of giving 20mg over 15 min I could give it over 40 min. This way I am giving a smaller dose, hopefully meaning I have less side effects (nausea, vasodilation) and if I have a longer transport time can better manage my patient’s pain for longer. I understand that Base Hospitals are very strict about giving only 4 doses. Thank you. PS: I think this is a great tool!