Category Archives: Medical Cardiac Arrest

Question: In regards to cardiac arrest secondary to drug overdose. A VSA in an instance where Cocaine and or Meth have been used in excess causing death. Would this fall under unusual circumstances and therefore be transported or would it follow a medical TOR and require a patch to base hospital?

Question: If a patient is between ages 8-12 and is VSA, are we still using the lowest Joule setting?

Question: If you get a ROSC on scene, after one analyze, patient rearrests enroute, can we pull over and finish the protocol? One analyze or three?

Question: In the December 11, 2011 powerpoint on Termination of Resuscitation. The slide on page 37 states the Medical TOR applies to all medical VSA that are cardiac in nature and asphyxial in origin including hanging, drowning electrocution. The webinar from our recerts states Arrest thought to be non cardiac in origin, i.e. OD, Trauma, Hanging, Drowning are a contraindication to the TOR. Could you please clarify?

Question: Since we're now able to administer Epi for VSA Anaphylaxis, why are we not able to do so for Severe Asthma VSA?

Question: I was just wondering in case I’m asked by the Police Department... in a medical TOR, what physician signs the death certificate?

Question: In our recert course, we were told that ACPs must patch to the BHP after the third analysis (during a medical arrest). Why do we have to patch so early? Shouldn't we patch after three rounds of epi?

Question: The PCP Medical TOR says that I can "move the patient to the ambulance prior to initiating the TOR if family is not coping well or the arrest occurred in a public place". What is an example of a public place? and if I move them to the ambulance and then get the TOR, is this now the place of death and I have to wait for the coroner to arrive?

Question: I see that it says consider NaCl bolus in the cardiac arrest standing order. In the past we gave a bolus for PEA as well as Rosc's. Can you confirm the exact circumstances we are to give the bolus as I find there to be a lot of gray areas in our orders.

Question: In regards to the new medical VSA directive: Would CO poisoning leading to VSA be considered an unusual circumstance? Thus performing one analysis and transporting would be acceptable?

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