With PCPs having the ability to shock a rhythm en route now, is it expected and best practice to stop compressions every two minutes during transport to analyze the rhythm. Or should we discontinue doing 2 minute analysis of the rhythm once transport is initiated.

During a medical code, after the first three shocks we are now doing a vector change. The directive states to then do 3 more shocks with the new pad placement. My question is if we only get one or two shocks following that pad placement change, are we now remaining on scene for the full 20 minutes since they’re no longer in refractory VF/VT or still leaving early since they were in that state and have shocked 4-5 times.

FTTS says for any step 4 to consider a patch to the BHP. I was under the impression that a BHP could not direct traffic. Can you please confirm?

When attending on a call, and a patient exclaims immediately they do not want to receive transport to the hospital, what are the directions in terms of treating and providing symptom relief medications. Example, nausea with gravol/ondansetron. Shortness of breath – ventolin, chest pain – nitro.

If a patient is VSA due to a trauma related mechanism, do you still trauma bypass to a LTH (lead trauma hospital).

If a patient is suffering a medical event in nature, and goes VSA (for the first time, NOT a re-arrest) en route to the hospital, do we pull over and run the arrest for 20 minutes, or would we use clinical consideration that egress has commenced, and do one analysis and continue transport (under the circumstance that pt at that time is in a non shockable rhythm)? 

What is considered the most appropriate means of transporting a pediatric patient? Is securing a child/infant in a car seat provided by parents to the stretcher better than securing them in the neonate or pedimate? We have the pull down jump seat for toddler booster seat, but would like to know what our BHPs think of the car seat on stretcher versus pedi/neonate.

Under clinical considerations medical cardiac arrest, plan for extrication and transport after 3 analyses. For Pediatric arrest would we do 3 analyses and go or complete 3 on scene and 4th before departing in ambulance?

You have a patient that is VSA from penetrating trauma. The bls states you transport to trauma hospital if less than 30 min. The als pcs states that if your patient VSA from trauma and a TOR does not apply (pt in PEA) you transport to closet ED. So which one is correct the BLS to trauma hospital or ALSPCS to closest ED.