Category Archives: BLS Patient Care Standards

Category: Orotracheal Intubation, Supraglottic Airway, Pediatrics   |   Date:

The updated AHA guidelines indicate an increase in the ventilation rate to 20-30 breaths per minute for children and infants respective in INTUBATED patients. Does this apply to patients who have a supraglottic airway in situ as well? Thank you!

Category: Medical Cardiac Arrest, Return of Spontaneous Circulation, STEMI Bypass   |   Date:

If our patient has been accepted for Bypass under STEMI protocol, and pt goes VSA on route, in the event of a ROSC do we continue to proceed to Cath lab or do we now reroute towards closest ED?

Category: Stroke Bypass   |   Date:

In regards to the LAMS score, is it to be used for acute changes only if a patient has deficits from a previous stroke? For example, if the patient already has a weak grip and arm drift from a previous stroke with no reports of acute changes, however they have facial droop that is reported to be new then is only the one point for facial droop counted?

Category: BLS Patient Care Standards, Medical Cardiac Arrest, Pediatrics   |   Date:

Question: For a pediatric VSA do you stay and run the full cardiac arrest, (4 analysis) or should you depart scene after the first analysis if they are in a non-shockable rhythm? PCP question.

Category: BLS Patient Care Standards, Return of Spontaneous Circulation, STEMI Bypass   |   Date:

Question: If our patient goes vsa while on route to Cath lab via bypass approval, and we obtain a ROSC, do we continue to Cath lab or divert to closest ED?

Category: BLS Patient Care Standards, Miscellaneous, Neonatal Resuscitation, Pediatrics   |   Date:

Question: When doing resuscitation on babies born prematurely. Do we consider their corrected age to follow the appropriate resuscitation procedure or do we go by their actual birthday? ie) if baby was born 4 weeks premature, do we consider them to be neonatal and follow 3:1 compression and ventilation rate until they are 8 or 9 weeks after birth?

Category: BLS Patient Care Standards, Hypoglycemia, Pediatrics   |   Date:

Question: How fast can a pediatric Pt. burn through glucose stores? Scenario: Called for a 13y/o unconscious. Consumption of unknown amount of alcohol & unknown drugs or amount. AOx0, GCS 4=E2V1M1. Eyes open to pain as only response. Pt stable vital signs on Primary & throughout transport & BGL 5.8mmol/L on scene. Transport to appropriate children's hospital code 4 CTAS 2with a 25 min transport time. On ED assessment Pt. was given an amp of dextrose as ED found BGL to be "low".... or not able to read on meter, so possibly less than 1.6mmol/L. Crew's service meter DID pass daily test procedure as per manufacturer's guidelines. Thank you

Category: BLS Patient Care Standards, Oxygen Therapy   |   Date:

What exactly are the oxygen flow rates per mask? I was given a different answer (specifically for a NRB) as a working medic than my friend who is in school

Category: Supraglottic Airway, Oxygen Therapy, Covid-19   |   Date:

So, just to be perfectly clear, as I have heard this in a round-about way from a few sources... We are not to use high concentration/High Flow oxygen via a BVM with a VSA patient without inserting an SGA - so when treating a VSA pt, we go directly to the SGA without ever using an OPA or NGA, correct? And what are our options if the SGA fails after 2 attempts and we do not have any extra hands to ensure a tight seal on the BVM mask - do we ventilate at all, or just administer compressions and carry on?

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