In the context of a pediatric cardiac arrest where the causative event would be anaphylaxis and you are a PCP crew and there is presence of airway edema with bilateral-diffuse polymorphonic expiratory wheezes; can we still treat with MDI salbutamol and if so, how would you deliver Salbutamol appropriately with a compression/ventilation ratio of 15:2?
In the case of an asthma exacerbation (severe enough but not to the point of administrating Epi) or in the case of an anaphylaxis, would it be appropriate NOT to wait the 5-15minutes in between treatments of Salbutamol? If not, what would be the rationale of waiting that 5-15minutes.
When dealing with a pt with chest pain (cardiac ischemia) that you are treating with nitro and ASA, is it appropriate to administer oxygen via nasal cannula at 4-6lpm or is high flow using NRB at 10-15lpm the only option?
Can you clarify the expectation for the following situation: an ACP crew is doing an inter-facility transfer of a stable patient who has a central line (say an IJC) which is capped off/not actively running. The sending facility staff inquire if they have to send an escort due to the non-running central line. What would the answer be?
Can you clarify the expectation for the same patient, however the facility staff wants the line to be maintained TKVO?
New 2017 STEMI bypass - In the RPPEO 2014 Powerpoint it states a STEMI must be recognized prior to a patient going VSA and subsequent ROSC in order to be considered for bypass. It does state "Pending Final Approval." The EHSB document states a contraindication is VSA without a ROSC but doesn't specifically state in the standard a STEMI must be identified before. Example would be patient goes VSA, is resuscitated and is now conscious complaining of chest pain, 12 lead indicates STEMI positive
Dispatch has recently been instructing patients to take ASA for chest pain. If we arrive at scene and the patient has taken ASA already , are we to not administer our ASA for cardiac ischemia ? Sometimes the patient self administers a higher dose of ASA prior to our arrival if they do not have low dose ASA.