This sounds almost identical to the call I went on today, my third hip fracture in 4 days, all of which involved 80+ year old women. An 81 year old woman had fallen up the stairs, at the top step. She told us she's been through a lot and has learned to really tolerate pain, but this was the worst pain she'd ever felt in her life. We were on scene for about 30 minutes, trying to figure out what would be the best and least painful way to get her out of the tight space and down the steep narrow flight of stairs. Neither I nor my tech was qualified to give pain medications, so that had to wait until we got her to the hospital. When arrived, the ER doctor said they would give her something for the pain; she assured him that she wasn't addicted to morphine. :)