Date Published

November 4, 2013

Updated For

ALS PCS Version ALS PCS Version 5.2


Question: Is the IV protocol like others in that once the patient falls out of a protocol, they cannot be put back in. For example, patient initial BP less than 90 systolic, decision made to load patient prior to IV attempt, on loading patient BP now above 90.


 Interesting question€¦ thanks for submitting. The main issue here is the unstable patient and scene management. While the "once you are out you are out" does not strictly apply to the IV Medical Directive, the SWORBHP Medical Council advises that rapid transport is the key with any patient who is hypotensive on scene. Paramedics should use judgment that procedures are often best attempted in these situations on route: especially once your patient has been loaded into your vehicle and transport can be initiated.



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