Below are a list of mandatory patch points found in the ALS PCS
TOR (Termination of Resuscitation)
Patch to BHP for authorization to proceed with amiodarone or lidocaine or if monomorphic wide complex regular rhythm for adenosine.
Patch to BHP for authorization to proceed with synchronized cardioversion.
Patch to BHP for authorization to administer 0.9% NaCl fluid bolus to hypotensive patients
Patch to BHP for authorization and dosage verification before administering morphine or fentaNYL for children < 12 years old.
Patch to BHP for authorization to administer 0.9% NaCl fluid bolus to hypotensive patients ≥2 years
Patch to BHP for authorization to consider release from care (COVID)
Patch to BHP for authorization to proceed with the administration of hydroxocobalamin in cases of “suspected” cyanide toxicity
A paramedic shall patch to the Base Hospital when:
- a) a medical directive contains a mandatory provincial patch point; OR
- b) for situations that fall outside of these Medical Directives where the paramedic believes the patient may benefit from online medical direction that falls within the prescribed paramedic scope of practice; OR
- c) for consultation when, in the paramedics opinion the patient presentation or situation warrants and medical advice is required.