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Unfortunately, not every call is straightforward, nor fits nicely into our Medical Directives.

For example,

The only visible portion of the patient’s body is their head and left arm.  The bin is covering their chest up to the clavicle area.  Therefore, your assessment abilities are limited.

A – The airway is filled with blood and tissue, requiring suctioning.

B – Once the airway is cleared, you attempt to ventilate and are unable to do so.

C – You cannot palpate a carotid pulse. You are unable to apply the defib pads to the patient and therefore cannot analyze the rhythm.

D – Altered LOA (GCS 3)

What do you do now? 

In cases where the directives are not clear, as in this situation, patching to the BHP is designed to: Address situations that fall outside of the Medical Directives, help direct management and provide advice for your individual call circumstance.