Paramedic Specialis Consult REQUIRED

Question 1

Patient Indicates non-transport decision AND after evaluation is found to have:

Answer 1

• Altered mental status
• Evidence of threat to self or others
• Unable to verbalize an understanding of the illness/injury and or
• Unable to verbalize ration reasons for refusing care despite the risks

Question 2

Patient/legal guardian indicates a non-transport decision AND after evaluation is found to have:

Answer 2

• Abnormal vital signs
• Just experienced an ALTE - Apparent Life-Threatening Event (including near drowning and resolved airway obstruction)
• Suspected poisoning
• Hazardous material exosure
• Significant traumatic injury (see appx A)
• Significant MOI (see appx A)

Question 3

Which tiers - CBRNE/HAZMAT/HRH events consistent with TA P&P

Answer 3

Tier 2 and 3

Question 4

Application of the Non-Medical Transport Procedure

Answer 4

• Must meet STABLE pt Criteria
• No Special Care Requirements
• Assisted Care Criteria
• Self-Care Criteria
  https: //intranet.bcas.ca/policy/manuals-guidelines-sops/pdf/non-medical-transport-procedure.pdf

Question 5

When encountering any involvement in a planned, impending or current Law Enforcement action

Answer 5

• calls in cells

- mental health

Question 6

Uncertainty to initiate resuscitative efforts. (note: paramedics must start CPR and then contact the PS)

Answer 6

• ?obvs deaths

- unknown where DNR is

Question 7

Uncertainty about treatment and/or application of treatment guidlines

Answer 7

• • CPAP

- neb epi for croup