THIS JUST IN??

[MedicPrincess]

Hasn't this been SOP for a longa time?

NAEMT Position On Emergency Aspirin Administration

In our continued commitment to uphold standards of professional practice and education with all members of emergency medicine and emergency medical services, the National Association of Emergency Medical Technicians (NAEMT) has created the following position on emergency aspirin administration for suspected heart attack.

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Based on the FDA’s recommendations, compelling field research and scientific findings, NAEMT strongly recommends that EMS personnel, in accordance with local protocols, administer at least 162 mg of chewable aspirin to patients suspected of acute MI. It is important that all first responders have immediate access to the proper dosage and form of aspirin for use in a cardiac emergency.

Position adopted September 23, 2005

This "Shocking" News Here

 

[Wingnut]

:unsure:

 

[Jon]

this is actually a big deal.

It *seems* to be calling for ALL EMS providers to be able to give chewable ASA to patients, not just the medics.

I agree with this. ASA is rather safe, and 162 or 324 is OK for BLS to give.

All this needs is a good protocol.

Jon

 

[TTLWHKR]

Hasn't this been SOP for a long time?

For ALS it has. We give four 81mg ASA to every cardiac patient, if they meet the criteria.

For BLS.. in PA? AHHHH HA HA HA... Maybe in ten years.

 

[emtff99]

Originally posted by TTLWHKR@Nov 25 2005, 05:15 PM

Hasn't this been SOP for a long time?

For ALS it has. We give four 81mg ASA to every cardiac patient, if they meet the criteria.

For BLS.. in PA? AHHHH HA HA HA... Maybe in ten years.

Alex try maybe 15 years with Pa. <_<

 

[SafetyPro2]

Unfortunately, I don't see it happening here anytime soon for BLS. Right now, in LA County, I can administer O2 and oral glucose. I can also "assist" with an epi-pen, sublingual nitro or an inhaler, but only if the PT has those prescribed and has it on them (we can't carry them). That's it, and in other parts of the state, EMTs can't even do all of those.

 

[emtff99]

Originally posted by SafetyPro@Nov 28 2005, 05:15 PM
Unfortunately, I don't see it happening here anytime soon for BLS. Right now, in LA County, I can administer O2 and oral glucose. I can also "assist" with an epi-pen, sublingual nitro or an inhaler, but only if the PT has those prescribed and has it on them (we can't carry them). That's it, and in other parts of the state, EMTs can't even do all of those.

The same in Pa, the BLS skills are back the Stone Age era basically.

 

[Jon]

Originally posted by SafetyPro@Nov 28 2005, 05:15 PM
Unfortunately, I don't see it happening here anytime soon for BLS. Right now, in LA County, I can administer O2 and oral glucose. I can also "assist" with an epi-pen, sublingual nitro or an inhaler, but only if the PT has those prescribed and has it on them (we can't carry them). That's it, and in other parts of the state, EMTs can't even do all of those.

What???

Heck, even in PA, we can do all of those.


But, do you have to call Rampart Base before treating the patient???

 

[emtff99]

Originally posted by MedicStudentJon@Nov 28 2005, 09:21 PM

What???

Heck, even in PA, we can do all of those.


But, do you have to call Rampart Base before treating the patient???

Is Rampart Base even still around? Now do you call Rampart via Cellphone or radio? j/k

 

[hfdff422]

In Indiana (our area at least,) it is protocol. This is something we carry on all BLS ambulances and can give per standing order if it is not contraindicated- basically if they have not taken too much already and are not allergic to it.

 

[TTLWHKR]

Originally posted by emtff99+Nov 28 2005, 09:45 PM--></div><table border='0' align='center' width='95%' cellpadding='3' cellspacing='1'><tr><td>QUOTE (emtff99 @ Nov 28 2005, 09:45 PM)</td></tr><tr><td id='QUOTE'> <!--QuoteBegin-MedicStudentJon@Nov 28 2005, 09:21 PM

What???

Heck, even in PA, we can do all of those.


But, do you have to call Rampart Base before treating the patient???

Is Rampart Base even still around? Now do you call Rampart via Cellphone or radio? j/k [/b][/quote]
Rampart was a ficticious name for a hospital in Culver City, Ca.

 

[hfdff422]

Originally posted by TTLWHKR+Nov 29 2005, 10:58 AM--></div><table border='0' align='center' width='95%' cellpadding='3' cellspacing='1'><tr><td>QUOTE (TTLWHKR @ Nov 29 2005, 10:58 AM)</td></tr><tr><td id='QUOTE'>

Originally posted by emtff99@Nov 28 2005, 09:45 PM
<!--QuoteBegin-MedicStudentJon

@Nov 28 2005, 09:21 PM

What???

Heck, even in PA, we can do all of those.


But, do you have to call Rampart Base before treating the patient???

Is Rampart Base even still around? Now do you call Rampart via Cellphone or radio? j/k

Rampart was a ficticious name for a hospital in Culver City, Ca. [/b][/quote]
Fittingly under the post "this just in".

 

[SafetyPro2]

Originally posted by MedicStudentJon+Nov 28 2005, 07:21 PM--></div><table border='0' align='center' width='95%' cellpadding='3' cellspacing='1'><tr><td>QUOTE (MedicStudentJon @ Nov 28 2005, 07:21 PM)</td></tr><tr><td id='QUOTE'> <!--QuoteBegin-SafetyPro@Nov 28 2005, 05:15 PM
Unfortunately, I don't see it happening here anytime soon for BLS. Right now, in LA County, I can administer O2 and oral glucose. I can also "assist" with an epi-pen, sublingual nitro or an inhaler, but only if the PT has those prescribed and has it on them (we can't carry them). That's it, and in other parts of the state, EMTs can't even do all of those.

What???

Heck, even in PA, we can do all of those.


But, do you have to call Rampart Base before treating the patient??? [/b][/quote]
BLS units don't do base station contact...period. Everything we can do is basically protocol (if you want to call it that) driven. In general, that's stabilizing the PT, doing the basic treatments I listed if necessary and transporting (or for most everyone else, waiting for an ALS unit).

We do usually call the hospital via cell phone to give them a "heads up" during transport so they know what we're bringing in (particularly important with something like a full arrest).

ALS units are required to make base contact for certain presentations (like SOB, chest pain, ALOC, etc.).