Date Archives: 14-Feb-2018

Question: In regards to the new BLS 3.0.1 under the paramedic prompt card for acute stroke protocol contraindications, it clearly states CTAS 2 and/or uncorrected airway, breathing or circulatory problem. My question in regards to this contraindication is does this automatically make a patient a CTAS level 1 when they are presenting with all signs and symptoms of a stroke and meet stroke protocol or does this mean that any other issues (i.e. chest pain making them a CTAS 2) puts them out of stroke protocol?

Question: I’m a recent graduate from the paramedic program and was wondering if I can get some feedback regarding the hypoglycemia treatment. The new protocol that came into play that now includes D10, I was curious what the reasoning was for choosing D10 over D50? Is there anything specific separating the 2 options of treatment?

Question: Case - Adult patient experiencing an asthma attack. Wheezing in all fields (air entry in all fields) and tachypnea. Historically, we've been taught to administer Epi in cases of 'silent chest', absent air entry in any fields or patient requiring BVM ventilation. The BVM ventilation has always been associated with diminished air entry/silent chest, but not really with hyperventilation. The old BLS stated to assist with BVM ventilation in any patient with a RR>28. Does this mean that if the patient has RR>28, therefore requiring BVM ventilation, he/she SHOULD receive Epi even if there is air entry (albeit wheezing) in all fields?

Question: With the recent training surrounding hemorrhage control will we potentially see TXA administration added to our medical directives? Also wondering if you see pelvic binding brought into our skill set in the future?

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: In relation to the Adult Analgesia directive, one of the indications is "acute musculoskeletal back strain", does this include injuries such herniated discs, radiculopathies etc.?

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