Base Hospital CEPCP
MedicASK Recent Answers
Management of Early Second Trimester Pregnancy Loss and Bleedingng
When handling a patient that is experiencing a miscarriage under 20 weeks, what can we do to control excessive bleeding? I understand we can consider patching for oxytocin, but can we consider bimanual compression, voiding bladder, etc.?
Should TXA be administered in traumatic arrest or medical arrest where hemorrhage is suspected?
Should TXA be considered in the setting of traumatic cardiac arrest, assuming all other priorities are managed? Or in a medical cardiac arrest when exsanguination is the primary cause? (Varices, rupture of known AAA, etc.)
Defining Anaphylaxis
Does base hospital use "two or more body systems" when defining anaphylaxis?
Flooding risk of Ventolin in ACPE?
Is it true that providing salbutamol for a wheezing CHF patient may cause “flooding” in the lungs? Often distinguishing between CHF vs asthma exacerbations can be difficult when the patient has both wheezing and crackles in bases. Is providing salbutamol potentially dangerous in this situation?
PCP Transport Following ACP Narcotic Administration
Can a Primary Care Paramedic (PCP) remain with their original patient and continue transport after an Advanced Care Paramedic (ACP) administers opioid analgesia, assuming the patient has had good effect, does not require further dosing, and the transport is short? Historically, we have treated this as out-of-scope for PCPs, requiring the ACP to take over the call. Has this changed with version 5.4 of the ALS PCS, or was this addressed in CME?