Category Archives: Miscellaneous

This is a BLS question. For management of a flail chest, most research suggests that we tape the flail segment in place with a large bulky dressing, bag of saline, Asherman chest seal, etc. I've been hearing from recent PCP graduates that they have been taught to use a bulky dressing, however they mention that they are being taught to do a circumferential wrap around the chest with a triangular bandage or blanket to hold the dressing in place (which I would assume is incorrect) instead of taping a bulky dressing over the flail segment. What would be the preferred method and why?

If a patient is capable - why is there a section for "Emergency Treatment of a Capable Patient without Consent"?

What time-frame is considered “Immediately after delivery” for administration of Oxytocin if we arrive on-scene after the baby is delivered?

Hello I attended to a patient who was in adrenal crisis from Addison’s disease. Pt presented with nausea/vomiting for 4 days, hypotension, GCS 14, tachycardia, fever of 38.8 tympanic with all other vitals within normal parameters. Pt had no food and minimal water intake for those 4 days. Pt had medic alert bracelet with adrenal crisis on one side and cortisol on the other. Pt states she has been taking her medications as prescribed. We asked pt if she had a vial when she was in an adrenal crisis and she said yes in my car and her family member went and got it. When they returned crew found it to say dexamethasone. My question is should we have called BHP for orders to give dexamethasone as our directive states hydrocortisone only for adrenal crisis pts.

What is the language for medical directives and inter-facility transfers with escorts? If a patient meets the indications and conditions for a medical directive and has no contraindications for treatment, and this is something you would treat in the field, if the nurse escort says no to your med administration - What’s next? For example, chest pain transfer for possible STEMI, sending facility gave 160 mg ASA and stated patient has had their “full dose” of ASA so they can’t get any from EMS, and the sending doctor does not want patient having treatment from EMS.

can you insert an OPA in an old person

Just wondering, I have heard of a few coworkers putting the cardiac monitor on when giving acetaminophen and ibuprofen and others are not putting it on. I was under the impression that the monitor had to be on prior to giving medications. Is this a must or not?

On our ACRS, when we have rhythm interpretation and if we are unsure of what the rhythm is, is it okay to leave it blank?

Tension pneumothorax Could someone please clarify the BLS section on ventilating a suspected tension pneumothorax. Is it just slower and not as hard of a squeeze as usual

What is our responsibilities once a patient has been arrested under the mental health act? Is it considered implied consent? Are we responsible for vital taking, blood sugar and treatment if the BG is below four? Can the patient refused treatment with a decreased BG and a GCS of 14(confusion)?

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