Date Archives: 6-Feb-2012

Question: Would bolusing a hypothermic ROSC be considered active rewarming?

Question: In the December 11, 2011 powerpoint on Termination of Resuscitation. The slide on page 37 states the Medical TOR applies to all medical VSA that are cardiac in nature and asphyxial in origin including hanging, drowning electrocution. The webinar from our recerts states Arrest thought to be non cardiac in origin, i.e. OD, Trauma, Hanging, Drowning are a contraindication to the TOR. Could you please clarify?

Question: Called to a nursing home for 90 year old male. On scene staff state patient has valid DNR but they are unable to produce it. The crew continues to resuscitate patient as per usual. Enroute to receiving facility, CACC advises the crew that family has phoned in and stated that they have the DNR and they do not want the patient resuscitated. The attendant phones the attending BHP and advises him of the situation. The BHP orders EMS to cease resuscitation efforts on patient. Is this right or wrong?

Question: Since we're now able to administer Epi for VSA Anaphylaxis, why are we not able to do so for Severe Asthma VSA?

Question: I was just wondering in case I’m asked by the Police Department... in a medical TOR, what physician signs the death certificate?

Question: I was on a call recently where I was instructed that all patients from a scene, where there has been a fatality, are CTAS 2. I had never heard of this so I asked our Quality Assurance and they said that all patients from the vehicle which had the fatality in it are CTAS 2. They also told me that Victoria Hospital (LHSC) is thinking about making them all CTAS 1. I asked around and not many people had heard about this. I looked through the original CTAS course module and could not find anything on this. I thought we were supposed to CTAS according to presenting condition. Some of these people are out walking around at the scene with no complaints.

Question: During my recent last autumn, my instructor mentioned that our base hospital medical protocols might be available as an App for a smart phone. Are there been any updates on that process?

Question: Can there be some consideration to an inclusion of a (1mg-2mg) Naloxone standing order for VSA patients from a suspected opioid overdose as per current literature and practice?

Question: If a patient presents with both chest pain and sudden onset stroke symptoms, can we still give all medications for cardiac ischemia protocol while doing stroke bypass?