You are absolutely right Overman. I don't care how high ones pains tolerance is, you get something really wrong like vehicle accidents or cancer for example (and being an ex paramedic Ive seen my fair share) and everyone needs powerful pain meds. Ive administered ketamine to lots and at the scene of accidents we aren't in the habit of assessing addiction problems, we are there for pain control, stabilising the patient and getting them to A&E as soon as possible.