Question: The Opioid Medical Directive allows for Naloxone to be administered 0.8mg SC/IM/IN and 0.4mg IV. The IV route allows the paramedic to titrate to restore the patient’s respiratory status. Can this titration also be applied to the SC/IM/IN?

Question: In a setting where you arrive on scene and you are presented with a patient who is unconscious and is hypotensive, the patient has a valid DNR. Can you still administer fluids to this patient or does that fall under the same category as inserting an OPA/NPA and BVM to a patient with a DNR?

Question: In a setting where you arrive on scene and you are presented with a patient who is unconscious and is hypotensive, the patient has a valid DNR. Can you still administer fluids to this patient or does that fall under the same category as inserting an OPA/NPA and BVM to a patient with a DNR?

Question: In regard to the new Acute Pulmonary Edema protocol and the confusion surrounding it. Are we really giving 0.6 to 0.8 mg of Nitroglycerin SL to a patient with no IV and an Hx of use and a SBP of >140 mmHg?

Question: For combative patient, preference for route choice from left to right is IV then IM. Shouldn’t it be IM first? It is kind of hard to get an IV on a combative patient. Why no IN anymore?

Question: Nitro Protocol for CHF the new protocol diagram says… Consider nitroglycerin: ‰¥140 mmHg, IV or Hx 0.6 or 0.8 mg. I have been told the diagram is wrong and I cannot double dose unless I have an IV regardless of history. If this true can you fix the diagram and issue a clear concise overview of this protocol?