Category Archives: Miscellaneous

Question: Why did we receive the latest OBHG recommendations today (Monday, Apr 6th) when they are dated April 3rd?

Question: Where do I find a COVID19 + resource through SWORBHP OR MOH of a chart...of when a pt with potential Positive (as mine was) should be suggested to stay home for no service or be transported due to risk factors. I am specifically looking for vital parameters, comorbity inclusion/exclusions...?. the only current available is verbally on the WHO.

*Updated: Are ACPs still required to complete 24h of CME for 2020, given the COVID pandemic?

What is a hydrophobic submicron filter? What does it do and does it have other names? FYI - Equipment standard has it listed on page 57

Are sublingual medications part of the considerations, since IN and buccal are?

For pediatric patients, are we supposed to get orders solely from pediatric physicians or can we get orders from physicians an adult ED? Are the pediatric physicians also in the base hospital program?

Question: Can ACPs use xylometazoline nasal spray to aid in the treatment of epistaxis? It seems to be the go to start to treatment in the Emergency Department, why not get started prehospital?

Question: As per the ALS PCS, why is there a deliberate gap between normotension and hypotension?

Question: The new BLS that will be introduced in December 11, 2017 mentions that treatment and transport refusal would require the completion of the refusal of service. The question is whether it is required to be completed for any refusal of treatment or just treatment with possible negative outcome to patient example refusing collar vs. Dimenhydrinate or any analgesic?

Question: Why are all the directives based upon an urban setting assumption given that there are very rural areas in which paramedics work in besides big cities? Further to this, one could suggest that certain advanced skills are more appropriate if not life saving the further from a hospital. Has there ever been any consideration to consider such advanced care skills such as midazolam for seizures, needle thoracostomy, peds IO and even cricothyrotomy to name a few. Why are these not even considered in areas with transport times exceeding well over 1-2hrs. These are skills that overall can make a significant difference in patient outcomes especially when no other care is available. To add, these are not skills that can be deemed to be well learned for even experienced ACP's as actual prevalence even in an urban setting is very low. Thus, the number needed learn position can be put forth ACP's anymore than PCP's but the difference in distance to more advanced care certainly can.

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