Northwest Region
Prehospital Care Program

Question: Question about ventilation during cardiac arrest for a pt that has a current tracheotomy. When ventilating what compression to ventilation rate is appropriate? Are we treating that tracheotomy like an advanced airway and doing asynchronous breaths and compressions? Or are we doing 30:2?

Question: There is an old memo from 2022 that states when giving nitro for cardiac ischemia it is acceptable to discontinue nitro when symptoms are fully resolved. Is this still the direction we are to follow? There seems to be some confusion around that and maybe some mixed understandings of what has been directed since that 2022 memo was released.

Question: Paediatric Cardiac Arrest: is there direction to start compressions on paediatrics with HR 60 with signs of poor perfusion?

Question: Hello, During a recent transport lasting over two hours, a patient’s suspected ischemic chest pain resolved following nitroglycerin, then recurred. I restarted nitroglycerin as all the directive conditions were still within the necessary clinical parameters. I could not find specific guidance on recurrent episodes in the current Cardiac Ischemia Medical Directive. Could you clarify whether each recurrence after complete symptom relief can be treated as a new episode and also that the applicable nitroglycerin dose maximum of 6 also remains the same. My previous experience and understanding was that a new episode could be treated with a new dosing sequence. Look forward to your help. P.S. Related: If a patient with STEMI were to achieve symptom relief with the maximum 3 doses of nitroglycerin, but symptoms subsequently recur, can nitroglycerin likewise be restarted with a fresh 3-dose maximum, or is the 3 maximum an absolute limit in STEMI circumstances?

Question: CPR ratios for paediatrics Neonatal resuscitation is 3:1 ratio. Paediatric resuscitation is 15:2 (2 rescuers) and 30:2 (1 rescuer) I know the directives have changed but is there still a >24 HOURS to 28 DAYS a CPR ration of 3:1 and selected j/kg as per ALS PCS. The BLS states follow the heart & stroke guidelines. BLS H&S Guidelines state infants (age less than 1 year, excluding newborns AND paediatrics (age 1 to puberty): non-intubated: ratio 15:2 as above. Intubated: Gave 1 breath every 2 to 3 seconds Neonate: both non-intubated AND intubated 3:1 ratio as above.