Category Archives: Miscellaneous

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)?

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?

Question: Good afternoon. I just have a question regarding a VSA patient scenario. If the patient has a pulse with an SGA inserted (patient tolerates SGA) to give ventilations, how many ventilations would I give? 1 every 10 seconds or 1 every 5-6 seconds? And do I also wear an N95 mask?

I am an PCP IV certified paramedic, working with a non IV medic. If we have a hypoglycemic patient do I need to attend & consider D10/D50 or can my non IV partner treat the patient with Glucagon instead?” Same question for Gravol; do they need to get it IV or can non IV certified medic give it IM?

Question: Can SWORBHP or the Ambulance service purchase and own the cell phone used for BHP patches? The could have the same stewardship and sign out process as the controlled drugs. The devices given to us by CACC are an outdated technology from the early 1990's flip phone. We can barely hear to begin with and now with covid PPE its virtually impossible to now. All patches are going to be Patch Failures so what is the point? Can the recording not be done at the hospital end or via the cellphone itself. Relying on CACC to record these conversations and then provide antiquated technology seems counterintuative.

Question: With the lockdown in place and time on our hands can we contract out an application programmer to develop a more user friendly protocol app. We have updated to the current version and it still takes almost 10 minutes each time to no matter the device to load. Not very functional on a time sensitive ACP call. I'm sure there are plenty of software engineer students out there bored not in school.

Clarification: all of the info regarding the protocols say "consider", but all of your response say "should not". Why can't BH come out and say do not, at least where other routes of treatment exist? Or maybe a should not with a patch point if you think you have to? There is so much up in the air right now, a little black and white would be nice.

Question: The latest Base Hospital Memorandum from April 6th says we are to withhold suction via an endotracheal or tracheostomy tube unless using a closed system suction unit. Does this mean we are to withhold suction ONLY via endotracheal or tracheostomy tube? Can we suction an airway full of vomit or blood?

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