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Paramedic Practice
Question# 855
Intervening on a flight
Recently, I had to intervene on a plane during a transatlantic flight for an elderly patient who first appeared to be VSA in her seat. I was the most qualified medical professional on board. I was provided their emergency kit, and tried to figure ...
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Question# 860
Disclosing Information
I had a pt confess to a serious crime while intoxicated. Would it be appropriate to pass on this information to the appropriate police force? Not including any patient medical history obviously
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Question# 834
Heated blankets for hypothermic/trauma patients
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?
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Question# 811
Do we need to reassess patients in an MCI?
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?
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Question# 795
Palliative Care Medications
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 ...
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Question# 766
Rigor Mortis
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...
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Question# 762
Flail Chest Management
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?
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Question# 749
Defib Pad Placement
Does the RPPEO have a stance with respect to defibrillator pad placement?
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Question# 747
Trauma VSA Transport Times
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...
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Question# 752
Posterior STEMI Bypass
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...
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Question# 744
MAP vs. BP
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...
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Question# 751
SET Protocol
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...
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Question# 719
Rounding Medication Doses
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...
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Question# 714
Palliative Care Medications
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...
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Question# 707
PCP AIV Ondansetron Administration
Within the palliative care directive, PCP’s can only give odanestron PO/SC. Can AIV PCP’s give odanestron IV?
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Question# 688
Pediatric Airway Equipment Dead Space
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...
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Appropriate BP Site
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Intranasal Dexamethasone
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Postural Vital Signs
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STEMI + and Transport to PCI Timeline
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