Date Archives: 12-Jan-2015

Question: In regards to the base hospital recertification for 2014-2015, in the video for medical cardiac arrest the paramedic received a ROSC and was re-evaluating vitals q1 minutes, however, in the quiz it was noted that you are to re-evaluated vitals q3-5 minutes. Can you please clarify?

Question: My question falls under the category of Trauma Cardiac Arrests. Are we expected to check the pulse of a PEA patient, secondary to trauma, every two minutes? I believe we do as this follows heart and stroke and also verifies a PEA is in fact pulseless.

The BLS states to reassess pulse every 2 minutes under medical section 2-18, but trauma section 3-6, referring to trauma VSA, states to follow ALS patient care standards and protocols.

Our protocol does not state or outline the desired pulse assessment treatment during transport after the one analysis is performed. Thank you in advance.

Question: A question arose today after a call where a patient clearly did not meet the protocol for Ketorolac. Upon reviewing the contraindications for this protocol, what exactly are being considered to be NSAIDs? The MEDList on the website included Ibuprofen, Naproxen, Celebrex, etc. but what about ASA? Tylenol? Excedrin? I was under the impression that both ASA and Tylenol were considered NSAIDs? My partner and I could not come to a conclusion and wanted further clarification.

Question: Your partner is preparing O2, obtaining vitals and attaching the monitor for a chest pain patient. You are performing a primary survey, gathering your SAMPLE Hx, ruling the patient in protocol for ASA, giving the ASA and doing the same for Nitro. Vitals are obtained 3-4 minutes earlier than the Nitro administration.

From past experience and following the protocol which states vitals q5 min, nitro q5 min and vitals must be obtained within 5 minutes of medication delivery, is this improper as 3 minutes has lapsed prior to the nitro administration? I have been informed that past deactivation has resulted from this?

Question: There was a question posted in January 2012 that asked if CO poisoning leading from VSA would be considered an unusual circumstance and whether performing one analysis and transporting would be acceptable. Medical Council’s answer was that this would be analogous to an asphyxial cardiac arrest such as a drowning and hanging. In these cases, the SWORBHP Medical Directors have preferred that the Medical Cardiac Arrest Medical Directive be followed.

This question was asked a long time ago, however, during one of my Base Hospital training sessions, I was told by an Educator that CO (it specifically said) does fall under an "unusual circumstance" and therefore you would transport after the first analysis leading to a NO SHOCK ADVISED.

Can you clarify what should be done?