MedicASK Recent Answers

In conversation with colleagues, I have been getting mixed opinions with applying CPAP to a pt with a DNR. Some see it as artificial ventilation other see it as treatment. Inwould love to hear base hospitals perspective on this.

I was curious if Hepatitis A/B/C counts as a contraindication for Acetaminophen (Under the "Liver Disease" point)?

Can you please define “unavailable” in terms of the nausea/vomiting directive where it phrases **if ondansetron is unavailable..

I have noticed that a clinical consideration has been removed from the ACP Analgesia medical directive in regards to Morphine and Fentanyl administration. I recall that in previous versions of the ALS PCS it stipulated that you can only administer Morphine or Fentanyl when providing opioid analgesia to a patient, without a patch. I notice this has been taken out, am I now authorized to be able to administer Fentanyl then morphine or vice versa to a patient. An example would be: giving morphine to a patient who then presents with a histamine reaction and I want to switch to Fentanyl, or I have maxed my patient out on Fentanyl and want to continue pain management treatment with Morphine? Thank you

In neonatal resuscitation, it seems possible to get stuck in a decision loop, and I am wondering whether NRP offers any explicit guidance for this scenario.Consider a freshly delivered neonate who is breathing but has a persistent heart rate of approximately 80 bpm. The infant is receiving oxygenated positive-pressure ventilation, which appears effective, yet there is no improvement in heart rate after repeated 30-second reassessments. The infant continues to appear clinically unwell.Following the algorithm strictly, progression to chest compressions does not occur because the heart rate remains above 60 bpm. However, 80 bpm is clearly abnormal for a term newborn, and after several ventilation cycles it can feel uncomfortable to continue without escalation. My instinct in this situation would be to consider starting compressions, particularly if the overall clinical picture is deteriorating.Does NRP provide any guidance for exiting this loop, or is management primarily based on the global clinical picture and provider judgment?