MedicBender
Forum Captain
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I had a call coming from a small community hospital, for a transfer to a level one hospital about 2 hours Away. Patient presented with esophageal varices, vomiting approx 4 hours ago at home with blood present. Patient came to ER and decision to transfer him to a larger hospital was made. On scene patient was alert, oriented. Vitals p110 sinus tach, BP 156/104, resp 20 non labored.
The RN stated that they were sending typed and matched blood, to be administered if the varices ruptured en route.
I'm a Iowa paramedic specialist (fancy name for NREMT-P). I called my dispatch to see If this call required an Iowa CCP. Dispatch sent a CCP to meet us. The Iowa state protocols are very vague. I know I can transport blood products, but there is no cut and dry answer for initiation by a medic in the field. The state the same for an Iowa CCP.
After discussion with the sending facility, the medical director, and dispatch, the Patient was sent with the CCP.
Has anyone here had protocols for blood administration?
We're you trained to administer blood products in medic school, or by your service?
Would you consider this to be in a paramedics scope of practice, or something that requires additional training?
Just curious to get some opinions on the matter. Hopefully we'll get more clarification from the medical director later.
Thanks!
The RN stated that they were sending typed and matched blood, to be administered if the varices ruptured en route.
I'm a Iowa paramedic specialist (fancy name for NREMT-P). I called my dispatch to see If this call required an Iowa CCP. Dispatch sent a CCP to meet us. The Iowa state protocols are very vague. I know I can transport blood products, but there is no cut and dry answer for initiation by a medic in the field. The state the same for an Iowa CCP.
After discussion with the sending facility, the medical director, and dispatch, the Patient was sent with the CCP.
Has anyone here had protocols for blood administration?
We're you trained to administer blood products in medic school, or by your service?
Would you consider this to be in a paramedics scope of practice, or something that requires additional training?
Just curious to get some opinions on the matter. Hopefully we'll get more clarification from the medical director later.
Thanks!