I am curious on the PHIPPA guidelines surrounding a deceased patient that may be known to the paramedic's social circle. I appreciate that protecting patients health information is critical during 911 calls, does that change if the patient has di...

If a minor has harmed themselves (I.e. ingestion of drugs) what role does the parent or legal guardian have if the pt does not give consent to disclose information? RN at CHEO and PD stated parents MUST be notified. How does PHIPA apply to these s...

What is the minimum age that a patient needs to be to refuse treatment and transport to hospital?

With rhythm analysis, if the initial one added to the ACR is normal, and throughout the call/transport, if the rhythm remains normal, do you have to continue to upload the ECG to the call to show it continues to be normal, or is the initial rhythm...

I was going over the PCP AIV package. In documentation, it states you have to document the drug concentration as well as dosage and route. In the ACR completion manual (version 3.0 2017), there is no mention of the need to document concentration. ...

What is RPPEO's stance on the use of one time use heated blankets, with patients who are either hypothermic, or have suffered multi-system trauma?

In the case of an MCI where one (or more) patients are VSA, when patients are initially triaged as "black" and do not be the criteria for obviously dead, should resuscitation be attempted if/when enough resources have arrived on scene?

Can you administer palliative medications to a palliative pt. if transport to hospital has been initiated? Does this require a patch? Is this applicable for any/all palliative meds or only select ones? Can you patch to administer palliative meds ...

My question pertains to obvious signs of death, and specifically with respect to rigor mortis of the smaller muscles of the face. I recognize the standard for obvious signs of death as documented by the RPPEO is "gross rigor mortis" ie stiffening...

Regarding a flail chest, what is the RPPEO’s preferred treatment? There is conflicting data on whether to splint and do PPV. What is the RPPEO’s stance?

Does the RPPEO have a stance with respect to defibrillator pad placement?

Following up on question #738 Trauma Timelines answered on October 16th, Currently in our OPCG Base Hospital app in the Destination Guidelines under Pediatric Bypass, there is a category for "greater than or equal to 16 years old, penetrating tra...

In regards to STEMI protocol and bypass, does it apply to posterior STEMI? The colored coded card in the protocol booklet only shows lateral, inferior, septal, anterior. I understand we would still treat the patient under the cardiac ischemia prot...

Knowing that monitoring devices, (LP15/Zoll), use oscillometry to accurately detect MAP and not SIBP, have the MOH and BHs made any strides in reviewing and changing all medical directives to reflect MAP as the accurate measure of hypo-perfusion a...

Is SET protocol still the expectation from the RPPEO, why or why not? Should we still have the receiving hospital sign off on tube placement once TOC in the event of a Coroner's inquest? This was part of the protocol along with a c-collar and ETCO...

When preparing medication, for example IM Midazolam for a 36kg pt, the 0.2mg/kg dose would be 7.2mg. Using a 5mg/ml concentration that would be 1.44ml volume of medication. Using a 3ml syringe, I would only be able to accurately measure 1.4ml dose...

With palliative care directives now becoming a core directive, what is the RPPEOs stance on using these medications for general practice. Examples include: using hydromorphone for pain management for someone who has previous hx of hydromorphone us...

Within the palliative care directive, PCP’s can only give odanestron PO/SC. Can AIV PCP’s give odanestron IV?

Question received from a paramedic in regards to the length of the "tree" (filter, ETCO2, tube extender) at the end of a SGA - iGel in our case - for pediatrics. Has previously been taught that this should be minimized due to tidal volume of pedia...

When patching to Base Hospital, can the Physician direct the crew to a specific destination when no bypass agreements/criteria have been met?

I'm employed as a PCP within the RPPEO. I work a second job with a private event EMS company with the full scope of practice of a PCP. We have a medical director, but he is not readily available by phone. If I was working a shift at this private ...