• In a challenging scenario: You respond to an unplanned home birth on a stormy winter day, with a backup unit facing delays due to adverse weather conditions. Upon arrival, you encounter a situation where a baby requires neonatal resuscitation, while the mother remains in a stable condition. Is it advisable to consider leaving the mother on site and transporting the newborn?

    Published On: March 21, 2024
  • Is there a gestational age limit on administering oxytocin? For example, you have a patient that has miscarried in the first or second trimester and is hemorrhaging heavily after passing the fetus, would it be appropriate to treat with oxytocin?

    Published On: May 19, 2023
  • Should we administer oxytocin in event of a miscarriage? If so, is there a minimum gestation?

    Published On: May 19, 2023
  • What time-frame is considered Immediately after delivery for administration of Oxytocin if we arrive on-scene after the baby is delivered?

    Published On: March 13, 2023
  • Mom is having a post-partum hemorrhage CTAS 1-2 and there is a stable neonate, can we leave neonate on scene with Dad and call for 2nd unit for baby or can we leave? Do we have to wait until arrival of 2nd unit? No policy on this.

    Published On: November 3, 2021
  • I have a question regarding our new Emergency Childbirth Medical Directive. My understanding from the protocol is that we can stay on scene to deliver a breech presentation, but for a limb presentation we must transport immediately. I know that we can deliver a complete breech and a frank breech, but what about a footling breech? Is that considered to be a limb presentation that requires immediate transport?

    Published On: March 28, 2019
  • Question: Although very rare, how should Paramedics manage a uterine inversion?

    Published On: December 22, 2017