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Medical Directives

Analgesia Medical Directive Question

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 extremity or hip, renal colic, acute muscle strain, burns or etc. My main concern is what would be considered an appropriate type of pain to receive our analgesic medication or can we now consider all types of pain appropriate as long as it is not suspected cardiac ischemia?

The protocol/companion document do not mention other types of visceral pain. Can someone with acute/chronic abdominal pain be treated with our analgesic medication? Example appendicitis or pancreatitis.

Does the origin of the pain need to be traumatic in nature? Example a pt has an acute infection in their limb or a possible DVT causing extreme pain.

What about a pt with a possible fractured rib or traumatic neck/back injury?

Headache/migraine?

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ASA

Submission ID: 4

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.



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