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Welcome to MedicASK. This section of the NWRPCP website provides paramedics the opportunity to ask questions to our Medical Directors regarding ALS PCS medical directives or other related patient care opportunities.

All questions will be reviewed and answered by staff within the NWRPCP. Please browse through our questions and answers, as well as the latest ALS or BLS Patient Care Standards or Companion Document for the Advanced Life Support Patient Care Standards.

MedicASK questions that have been answered by the NWRPCP are posted below.

If you are unable to find your specific topic please complete the new question form.

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MedicASK Answers

Paramedic Practice Documents

10 July 2025

Refractory States and the Impact on Transport Decisions

10 July 2025

Resuscitation with signs of obvious death

18 September 2020

Nitro patch removal

18 September 2020

ASA

12 July 2018

Analgesia Medical Directive Question

26 June 2018
Submission ID: 1 Question: This question is regarding the indication for the new analgesia medical direction. The new indication is just "pain" with a contraindication of suspected cardiac ischemia. I am aware of plenty of situations where this protocol would be appropriate. Example a fracture ex…