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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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

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

Question#: 629 Question: Hello, I just had a patient whose blood thinners were temporarily discontinued due to an episode of hematuria. Although this patient was contraindicated for NSAIDs u...

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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

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

Airway Obstruction - Priorities

Transcutaneous Pacing - Symptomatic Bradycardia

Priorities in Symptomatic Bradycardia

ROSC Destination Guideline: Stemi Bypass

Atropine dose change ALS PCS 4.9

NSAIDS in high mechanism of injury

Calcium/Ventolin without patching (Feb 1st, 2022)

Use of Dopamine Infusion IO (ROSC) with Correct Dose/Pressurized

Neonatal Resuscitation Guideline - Epinephrine

Crush Injury - Medical or Trauma Cardiac Arrest

CPAP - "Alternative Treatments"

Postpartum Hemmorrhage VSA as a Medical Arrest vs Trauma Arrest