Northwest Region
Prehospital Care Program

Question: Where can I find a digital copy of the newest ALS PCS 5.4 version. Went live today but cannot view it anywhere 🤷🏻‍♀️

Question: With the revised cardiac arrest medical directive defining refractory VF/pulseless VT as persistent after 3 consecutive shocks—and advising DSED or VCD thereafter, with transport following three DSED or VCD attempts—does this mean transport now occurs after a total of 6 consecutive shocks instead of 3? if not when is transport advised?

Question: Can you please provide direction on what would be the most appropriate action for situations involving the initiation of cardiopulmonary resuscitation by first responders, prior to Paramedic arrival, who is then deemed to meet the obvious death criteria under the BLS PCS.

Question: Hi there, I would like to inquire about whether or not there is a need to remove a patient’s Nitroglycerin transdermal patch prior to delivering Nitroglycerin SL under the Cardiac Ischemia or Acute Cardiogenic Pulmonary Edema Medical Directives. Much appreciated.

Question: Just have a question about ASA in regards to administering the drug for new onset cardiac ischemic rhythms. An example would be a patient in 2nd degree type 2 heart block with no other cardiac ischemia signs/symptoms but has no history of a heart block before medics completed an assessment on the patient. With the possibility of the heart block being caused by ischemia can we give ASA ? Other cardiac rhythms that could be treated with ASA because of possible ischemia are BI/ Trigeminy PVCs/ runs of vtach/ 3RD degree block with no pervious history until medic assessment on scene.