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…

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 guidan…

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 p…

Hello! With regards to hypotension in a trauma patient secondary to blood loss. I recently reviewed in a text book that giving a hypotensive trauma patient a 0.9% normal saline fluid bolus can be detrimental to the patient due to its acidic properties as the patient is already going to be in me…

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 o…

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 t…