Category Archives: Miscellaneous

Question: How often should you reassess the respiratory rate for apneic patients?

Question: In which instance should a transdermal patch be removed in the pre-hospital setting? Example 1: Hypotensive patient with a Nitro patch on. Example 2: VSA with a narcotic patch on. Example 3: Suspected OD with a narcotic patch on (or several).

Question: If a doctor is someone who can assume care of a VSA patient and decide to have resuscitative efforts ceased, then why is a doctor not someone who counts as a witness in the 'unwitnessed arrest' condition of a TOR, along with paramedics and firefighters? Thanks in advance.

Question: I have a question about postictal patients and cardiac monitoring. I have been told two things by several other partners in past few weeks. Assume you are a regular seizure patient whom you have seen many times and he/she is in their normal postictal state and you are not suspecting brain trauma. Is there any clinical reason/need to put cardiac monitor (e.g. limb leads) on? Also assuming you have a 1 min transport time. I was told as per BLS standard you "must" but in the postictal section it mentions that the paramedic may consider enroute. Thanks.

Question: I have recently came across a situation where an ACP/PCP crew decided to have the non-IV cert PCP attend a Stroke Protocol call, and the ACP replied that he/she did not think it was necessary. Because the protocol requests a IV be established whenever possible, should the ACP have attempted an IV and attended?

Question: I am just curious as to why SWORBHP or MAC has opted to pull the android/iPhone medical directives app? This was a great tool if a quick refresh was needed while en route to a call. I realize we should all know our protocols inside out, but sometimes a quick reference for reassurance is needed. I was under the impression when the app was pulled it was perhaps for a further refinement/usability and we would be seeing it again soon. It makes no sense that a tool like this was given to us then pulled back. Also, it's a great tool for SWORBHP to update any protocol changes from year to year as you are no longer supplying us with books.

Question: Are there contraindications for sager applications?

Question: I have a question regarding an MCI scenario. There is a total of 10 patients; 3 patients are dead from trauma and 7 patients are cleared off scene from other ambulances. You now have the 3 black tag patients left. Do we need to re-assess these patients and get trauma TOR for each one?

Question: Is there any chance we will start giving acetaminophen to children with fevers (a temperature above 38 degrees) in the future? If not, what are the reasons why we can't add this to our protocols?

Question: On February 21, of this year the London Free Press had an article stating that the Middlesex London Health Unit plans to roll out naloxone kits to the public in hopes of preventing deaths from unintentional overdoses. Toronto Health Unit has already been distributing these kits. Why are Primary Care Paramedics still without this drug when Naloxone now in the hand of the public?

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