When assessing for pelvic trauma do you use only 1 plane now (medially) and is there any reason to assess the symphysis pubis. It has changed for 3 to 1 but I cannot find the version.

Hello, I was hoping you can put my overthinking mind at ease. I responded to a traumatic vsa. Single stab wound to the chest with the knife still impaled. Single stab wound to the lower left side of his chest(left of his nipple). He was asystole, very rigored at the jaw but no other obvious signs of “ Obivously Dead Criteria” My question is technically can we deem that enough to not continue resuscitative efforts? Or do they need gross rigor mortis at the extremities or lividity to call it? We decided to run the call as we did not feel comfortable calling it with just rigor at the jaw. Removed the knife as it was impending CPR, applied an asherman seal, rhythm analysis revealing asystole, double NPA with two handed seal and adequate ventilations with equal chest rise and fall with good air entry(did not needle decompress), end tidal of 20-22, IO access and transported. Arrival at the ER, got odd looks from ER team and got questioned why we transported someone who was rigored at the jaw and explained to them that we did not have enough to pronounce them on scene. Hoping you can give some clarification on this challenging scenario and whether I could’ve done that call differently. Thank you!

For a patient with 3rd degree burns – should we be using our service supplied burn gel/sheets? According to the BLS 3rd degree burns are to be covered with dry sterile dressings or a sheet but I have seen them being used on 3rd degree burns victims in the past. Could you clarify when we should be using these burn sheets? I can’t find this information. Thank you in advance!

In the Deceased Patient Standard in the BLS, can you clarify what is meant by the term “gross” when it talks about a patient that is deceased with an open head or torso wound with gross outpouring of cranial or visceral contents?

With today’s technology, are we allowed to honour DNR provided by phone? Eg. a photo?

Question from an ACP role, For a pediatric patient who has a HR less than 60 with poor signs of perfusion (cyanosis/pale and apneic€¦..start chest compressions with airway and ventilations via BVM. The question is do we follow it up with epi? In the PALS algorithm it states to do CPR/ventilations, epi, atropine and consider pacing. This is covered under the newborn arrest directive however it is not covered under the adult/pediatric medical cardiac arrest. What does our base hospital want us to? Would it be appropriate to follow the PALS Bradycardia algorithm?