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Northwest Region
Prehospital Care Program

OBHG MEMO/DIRECTION FROM NWRPCP

Please click below to see the latest Memos and direction from OBHG and NWRPCP.

Latest MedicASK Questions

Vector change with pad placement
Question: Would it be acceptable to attempt anterior/posterior pad placement if 3 attempts of the anterior/apex placement does not work? Would we have to patch for this? I would of course just use a new set of pads and keep the originals on, and only attempt if it could be done while minimizing interruptions to cpr.
Resuscitation with signs of obvious death
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.
Nitro patch removal
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.
Clarification on oxygen delivery for COVID-19 Patient
Question: I just have a question in regards to oxygen treatment. With the recent memorandum it states that in all cases high flow oxygen delivery should be avoided unless via ETT/SGA. Does this mean we are no longer able to use a BVM for a patient who is severely short of breath when a high concentration/low flow masks with a submicron filter is no longer able to maintain an appropriate 02 saturation level?
Clarification on COVID-19 memorandum on Treatment Considerations
Question: As per the new amendments that came out today are we with-holding CPAP (in all cases) including those who screen negative for COVID-19 assuming that they could still be a positive case? Some clarification is required.