Contraindications

Question 1

Adrenaline - 1

Answer 1

There are no absolute contraindications for adrenaline

Question 2

Amiodarone - 2

Answer 2

No contraindications in cardiac arrest

Not compatible with Saline (if infusion dose is advocated by a specifically authorised person)

Question 3

Aspirin - 2

Answer 3

Known hypersensitivity to aspirin / salicylates.

Children < 12 years of age.

Question 4

Atropine Sulphate - 3

Answer 4

Known hypersensitivity.
Third-degree atrioventricular (AV) block.
Patients with cardiac transplant.

Question 5

Cophenylcaine - 3

Answer 5

Hypersensitivity to phenylephrine, lignocaine or other anaesthetics
Children <2yrs
Pregnancy

Question 6

Fentanyl - 4

Answer 6

Hypersensitivity to Fentanyl
Less than 1 year of age (IV / IO only)
Occluded nasal passages or epistaxis (intranasal only)
Imminent birth, or expected birth within 2 hours

Question 7

Glucagon - 2

Answer 7

Hypersensitivity.

Known pheochromocytoma

Question 8

Glucose 10% (Intravenous) - 1

Answer 8

Not to be used if there is no patent IV access

Question 9

Glucose Oral Gel - 1

Answer 9

Nil

Question 10

Glyceryl Trinitrate - 3

Answer 10

Hypersensitivity
Hypotension < 90mmHg
Medications used for erectile dysfunction within 24 hours (e.g. Sildenafil®, Vardenafil®)

Question 11

Heparin - 2

Answer 11

Hypersensitivity to Heparin

Presence of known haemorrhagic states

Question 12

Hydrocortisone - 1

Answer 12

Known hypersensitivity

Question 13

Intravenous Crystalloid Solution - 1

Answer 13

Severe Pulmonary Oedema

Question 14

Ipratropium Bromide - 1

Answer 14

Hypersensitivity

Question 15

Ketamine - 6

Answer 15

Hypersensitivity
Active cardiovascular disease including cardiac chest pain, heart failure, severe or poorly controlled hypertension
Patients with delayed transfer of care (i.e. ‘ramped’)
Disturbed and abnormal behaviour CLEARLY not RASS 4 for first line agent choice
Non traumatic pain (IM / IV / IO)
Age <1 Year of age

Question 16

Lignocaine 1% - 1

Answer 16

Hypersensitivity

Question 17

Methoxyflurane - 4

Answer 17

Patients who are unable to understand or co-operate.
Patients with severe renal impairment.
Patients with head injury and altered consciousness that prevents co-operation with its use.
Hypersensitivity e.g. malignant hyperthermia

Question 18

Midazolam - 1

Answer 18

Hypersensitivity

Question 19

Naloxone - 1

Answer 19

Hypersensitivity to Naloxone

Question 20

Olanzapine - 3

Answer 20

Known Allergy
Known Parkinsons Disease
< 6 years of age

Question 21

Ondansetron - 2

Answer 21

Paediatrics less than 2 years old

Hypersensitivity

Question 22

Oxygen - 2

Answer 22

Explosive or flammable environments

Normoxia

Question 23

Paracetamol - 3

Answer 23

Known hypersensitivity to Paracetamol.
Do not give if patient has had Paracetamol in the preceding 4 hours.
Cannot exceed the maximum allowed single dose or exceed the maximum allowed paracetamol daily dose (24hrs).

Question 24

Prednisolone - 2

Answer 24

Known hypersensitivity to corticosteroids

Live virus immunisation within last 48 hours (e.g. MMR, Chicken Pox, Yellow Fever)

Question 25

Salbutamol - 3

Answer 25

Known hypersensitivity to salbutamol
Cardiogenic pulmonary oedema
Age <12 months

Question 26

Tranexamic Acid - 2

Answer 26

Known hypersensitivity to Tranexamic Acid.

Injury time more than 3 hours (associated with increase in mortality).

Question 27

Droperidol - 4

Answer 27

Known allergy
Known Parkinson’s Disease
Where Ketamine has been administered to sedate this episode
<6 years of age