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Patient Care

STEMI Bypass and Patient Contact Time

We have had some debate regarding STEMI bypass. We are looking for clarification of pt contact. Question is, when you have a PRU attending and are first on scene, are we using their pt contact time or the transporting crews pt contact time.

POA/SDM Determining Transport Destination

Can a person with power of attorney (POA) make a destination decision when a bypass is clinically approved? I recently encountered a situation where an elderly Pt who could not make decisions on their own had experienced trauma that fit the trauma b…

NPA use in mid-face and/or basal skull fracture patients

Is an NPA contraindicated with suspected mid-face or basal skull fracture?

CTAS 1 and STEMI Bypass

I wanted to follow up on clarification of STEMI bypass and our CTAS level, in our companion documentation it shows a STEMI should be a CTAS 1 but our guide for bypass says a CTAS 1 is contraindicated and the paramedic cannot secure airway or ventila…

Retained Products of Conception and Miscarriage

We had a patient that had a miscarriage this am, she was 3 months gestation. She had started to have vaginal bleeding 4 days ago. She was examined at civic on Saturday, after an ultrasound was informed that there was no heart sounds. My partner inf…

Trauma Timelines

Working for Cornwall SDG, our trauma bypass have amendments extending our transport time from 30 minutes to 60 minutes. In the contraindication for Trauma TOR, it states “patients with penetrating trauma to the torso or head/neck and Lead Trauma Hos…

Stroke Bypass

Question/Clarification regarding the Acute Stroke and Champlain Protocol. According to the prompt card at the bottom of the directive in the OPCG app (where the LAMS scale is in the directive): A patient with stroke symptoms with an onset greater t…

Pedi Stat App

Just wanting to confirm if the Pedistat app is a recognized resource by the RPPEO i.e. for pt weight, ETT size/depth etc.

Joint Reduction/Manipulation

Would RPPEO consider education on joint reductions/manipulations? Under the BLS, in Extremity Injury Standard (page 125 1. f.) it states, "If adequate circulation/sensation is absent, after splinting and re-manipulation is possible, gentle re-manip…

PCP Manual Defibrillation

As a PCP in my service for Medical cardiac arrest i am required to utalize the Analyze button on our monitor instead of manual interpretation. When asking my service why they state the BH doesnt want it, when asking at BH CME's im informed my servic…

May the Canadian C-Spine Rule be applied in patient assessment

Just a question in regards to spinal immobilization. Is it still acceptable to apply the Canadian C-spine rule? Or was that just a temporary study and we should now revert to the BLS SMR standard?

Stroke Onset Clarification

Inter-facility transfer of chest tubes

Bladder Irrigation During Transfers

Pharmacological Overdose Resources

Treatment of hypotension in Sepsis

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

Pediatric Defibrillation

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