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Patient Care
Patient Care
Question# 820
NPA use in mid-face and/or basal skull fracture patients
Is an NPA contraindicated with suspected mid-face or basal skull fracture?
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Question# 743
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 i...
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Question# 726
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-man...
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Question# 708
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?
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Pharmacological Overdose Resources
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Question# 732
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.
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Question# 717
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 serv...
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Inter-facility transfer of chest tubes
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Bladder Irrigation During Transfers
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Question# 784
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 venti...
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Question# 738
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 H...
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Treatment of hypotension in Sepsis
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Question# 733
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...
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Stroke Onset Clarification
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Is an RN escort needed to transport a stroke patient who has received TNK?
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Pediatric Defibrillation
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