RPPEO MedicASK

Welcome to MedicASK. This section of the RPPEO 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 RPPEO. 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.

Medical Directives

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In this section

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

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

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Most Recent Questions

May dexamethasone labelled for IM, IV or SC administration be administered orally

Question#: 665 Question: The new ALS PCS 5.1 adds Dexamethasone to the paramedic scope of practice. The treatment routes listed are IM/IV; however, it is used as an oral medical as well. Can...

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RPPEO MedicASK

What is your question?

In this section

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

MedicASK Categories

MedicASK Search

Most Recent Questions

May dexamethasone labelled for IM, IV or SC administration be administered orally

May dexamethasone labelled for IM, IV or SC administration be administered orally

Postural Vital Signs

Is a "B52" appropriate for sedation when midazolam is ineffective?

STEMI + and Transport to PCI Timeline

Is Epi appropriate for 55+ pt with suspected severe acute COPD with silent chest requiring BVM Ventilation & a Hx of Asthma?

Treatment of hypotension in Sepsis

Should opioid analgesia be administered to a patient with opioid use disorder?

Why is a normotensive SBP a condition for ketorolac?

PCP or ACP - For a CTAS 1 patient who is in the back of ambulance?

Stroke Onset & Transport to Stroke Centre

Cardiac Arrest Patient's With Internal Defibs

PCP's - How long would a patient have to be discontinued any anticoagulation therapy before considering them for NSAID treatment for pain?

Analgesia on Offload

Sodium Bicarb Administration

Trauma Bypass Question - Blunt Trauma VSA with a ROSC

Why can we administer CPAP for COPD exacerbation but not for Asthma?

Recommended Management Approach for patient who is Symptomatically Bradycardic from Suspected Hyperkalemia?

Is an RN escort needed to transport a stroke patient who has received TNK?

Is CVAD considered IV access for Nitro conditions? (Scenerio)

Acute onset rapid Afid - Should the cardiac ischemia medical directive be considered for symptoms of palpitation, chest pain and similar ischemic symptoms

Could you please define the TBI contraindication for NSAID administration?

Do the medical directives for bradycardia require always trying TCP first before proceeding to dopamine, or is trying dopamine first reasonable?

Hypoglycemia Protocol - Complete Dosage or Titrate to LOC?

NIBP vs manual. Are medics to take a manual?

Pediatric Defibrillation

Scenario Question - Severe Allergic Reaction/EPI Admin/VSA

Companion Document Cardiac Ischemia - Prior Nitro History as "previously prescribed nitro"

Patch Point to BHP - Cardiogenic Shock + Severely Bradycardic

Patch to BHP - VSA Patient , got a ROSC then re-arrested on scene

Pad Placement - LVAD Patients

Patching for Calcium Gluconate

Acetaminophen for Febrile patients

RPPEO Standards - Renal Impairment (Ketorolac)

Contraindications for Adult Analgesia - Ischemic Patient with Chest pain

Transport after Administering Narcan

STEMI Bypass - Scenerio (Closest ER vs Heart Institute)

Inter-facility Transfers - Patient under our care or care of sending physician?

ALS vs BLS Medic - Narcotic Administration

PCP AIV - Pain management alternatives