Date Published

February 11, 2020

Updated For

ALS PCS Version 5.2


Winter has settled into the region and we wanted to send out a quick reminder for those "Special Situations" in which very early transport (after 1st analysis and defibrillation, if indicated) should be considered in Cardiac Arrest under the Medical Cardiac Arrest Medical Directive:

-Hypothermia -Pregnancy presumed to be >/= 20 weeks gestation (fundus above umbilicus) -Airway obstruction -Suspected pulmonary embolus -Medical overdose/toxicity -Other known reversible cause of arrest

Reasoning: these conditions can potentially be treated with definitive care in-hospital, and therefore expedient transport is indicated.

As always, if unsure how to proceed, consider a BHP patch for direction.


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