Prehospital Pitocin

[fma08]

Anyone have ideas where I could look to maybe find some stats on how often it is used nation wide, or studies done on whether it's beneficial or not in the prehospital setting? Something along those lines maybe?

 

[s4l]

Why would you give pit preshosp? Unless you want a baby in your rig, I wouldn't.

 

[Scott33]

Why would you give pit preshosp? Unless you want a baby in your rig, I wouldn't.

Post-partum hemorrhage refractory to fundal massage.

 

[Onceamedic]

Post-partum hemorrhage refractory to fundal massage.

This is the only approved use of pitocin in our protocols. The baby's already here. It would be nice if it's mother didn't bleed to death.

 

[EMSLaw]

This is the only approved use of pitocin in our protocols. The baby's already here. It would be nice if it's mother didn't bleed to death.

Most of us consider that a major plus, yes.

 

[fma08]

Could some of you who have it in your protocols, post that protocol or a link to where it's at for me? I'm doing some research. Thanks^_^

 

[cm4short]

ICEMA Protocols. http://www.co.san-bernardino.ca.us/icema/protocols/combman/p11%20p11003.pdf

We basically only monitor it. Your best way to learn about this Med is actually seeing it being used in the L&D. It's a very potent med and requires specialized monitoring equipment. Especially since most women can be very sensitive to even a minimal dose.

 

[terrible one]

they use it in Kern Co, CA

 

[FFMedic1911]

We had it in our protocols here at the dept. I work at.We never used it so we removed it.We are located in Kentucky.

 

[DV_EMT]

pitocin is useless on a rig for only one reason...... early expiration. they only have about a 1 month expiration unless you make the IV bolus in the back of the rig with a vial of pitocin.

My opinion.... listen to the generic rule. High O2, Rapid Transport, and fund"al" massage.

 

[fma08]

pitocin is useless on a rig for only one reason...... early expiration. they only have about a 1 month expiration unless you make the IV bolus in the back of the rig with a vial of pitocin.

My opinion.... listen to the generic rule. High O2, Rapid Transport, and fund"al" massage.

That's what we do at our service ^_^

 

[Outbac1]

FMA08
Here is the link to our protocols and meds.
http://www.gov.ns.ca/health/ehs/documents.asp
Look under Medical director and you will find our policies, procedures and protocols. They are in PDF format and have an index on the left.
Pitocin goes by the name of oxytocin here.

 

[MrBrown]

what about oxytocin?

 

[Jon]

PA allows for it... but I haven't found a service that actually carries Pit.

POST-PARTUM HEMORRHAGE
STATEWIDE ALS PROTOCOL #7087

See Emergency Childbirth Protocol # 781

Assure all fetuses have been delivered

Administer Oxygen

Firmly massage the uterus

Initiate IV/IO NSS, 500 mL bolus
(If hypotension, administer up to 2000 mL NSS at wide-open rate)

Monitor ECG/Pulse Oximetry

Contact Medical Command

Oxytocin IV infusion (if available)
10-20 units/1000mL NSS at wide open rate

If hypotension
Follow Shock Protocol #7005

 

[DV_EMT]

what about oxytocin?

same difference... almost identical

 

[wyoskibum]

We use to carry it in my old service and never used it in a 5 year period. It was deauthorized by the state for the same reasons. We do carry in my current service, haven't heard of anyone using it here either. Just another drug we have to outdate.