Date Published

February 18, 2015

Updated For

ALS PCS Version ALS PCS Version 5.2


Question: When managing a cardiac arrest as a PCP and following the Medical Cardiac Arrest Medical Directive, if the patient does not qualify for a TOR (shock delivered, ROSC obtained at some point etc.), why is it required to patch to the BHP (Mandatory Provincial Patch Point) for authorization to transport when it is clear that transport is the only option?


 Thanks for the excellent question! The SWORBHP Medical Council discussed the Medical Cardiac Arrest Medical Directive and specifically the indications for paramedics to patch to the BHP.  It has been identified that some paramedics believe that a mandatory patch to the BHP is required following the third analysis regardless if the TOR is indicated or not and a transport decision has already been determined.  It is the position of the SWORBHP Medical Council that if the medical TOR does not apply, paramedics should transport to the closest appropriate receiving hospital following ROSC or the 4th analysis without a mandatory BHP patch.



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