BLS Patient Care Standards
- Cardiac Arrest
- Cardiac Ischemia
- Cardiogenic Shock
- Central Venous Access Device
- Combative Patient
- Emergency Childbirth
- Intravenous Access
- Moderate to Severe Allergic Reaction (SE)
- Opioid Toxicity
- Return of Spontaneous Circulation
- Trauma Cardiac Arrest
Once Zonfran have been given to someone who is over 65 and it is not relieving the N/V after 30 mins, would it be appropriate to give 25mg of Gravol at this point even though they are over the age of 65? I understand why we do not want to give it right away. Thank you, I look forward to hearing f...
I have a question concerning the contraindication in the Supraglottic Airway Medical Directive. The "Known esophageal disease (varices)" do also include all the esophageal disease like example eosinophilic esophagitis, dysphagia, esophagitis, Barrett's esophagus, gastroesophageal reflux disease (...
Hello, I just had a patient whose blood thinners were temporarily discontinued due to an episode of hematuria. Although this patient was contraindicated for NSAIDs under our analgesia directive, it got me wondering that if we have similar patients, assuming no contraindications (as in the potenti...
I was wondering about the ability to utilize a mix of narcotics for our patients in light of the long offload delays that we are all now facing. In discussion with my fellow ACP's there have been many of us that have called to be allowed to switch to the longer acting Morphine after beginning wit...
The ECC guidelines for bradycardia show that both IV adrenergics with beta accelerating effects and TCP have equal levels of recommendation and thus, based on that, one probably isn't better than the other. Based on my limited experience with pacing, I have noted a high degree of failed or false ...
According to our cardiogenic shock medical directive, if a patient is to be bradycardic, a BHP patch is required. In the setting of a patient in cardiogenic shock and severely bradycardic and does not respond to regular fluid therapy (STEMI found on ECG), should we be initiating treatment such as...
In respects to the Ketorolac protocol, one of the contraindications is renal impairment. What is the definition, as per the RPPEO standards, of renal impairment? Is it a known pre existing disease process of the renal system or would it also include a UTI that has manifested into a potential kidn...
As a PCP in my service for Medical cardiac arrest i am required to utalize the Analyze button on our monitor instead of manual interpretation. When asking my service why they state the BH doesnt want it, when asking at BH CME's im informed my service does not want it. I am slightly confused as to...
With palliative care directives now becoming a core directive, what is the RPPEOs stance on using these medications for general practice. Examples include: using hydromorphone for pain management for someone who has previous hx of hydromorphone use, ondansetron IV as opposed to SL (we still are o...
Question received from a paramedic in regards to the length of the "tree" (filter, ETCO2, tube extender) at the end of a SGA - iGel in our case - for pediatrics. Has previously been taught that this should be minimized due to tidal volume of pediatric patients and potential to be rebreathing expe...