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PR33: PCP LifePak 15 IFT Procedure

Applicable To

Introduction

To provide clear guidelines for the Primary Care Paramedic (PCP) inter-facility transport (IFT) of stable patients requiring electrocardiogram (ECG) monitoring.

Indications

All of the following criteria must be met prior to the initiation of transport:

• Patients must have been pre-screened by EPOS or Critical Care Paramedic Advisor (CCP-A) for appropriateness of transport
• No current or ongoing chest pain
• SpO2 > 92%
• Systolic blood pressure > 90 mmHg
• Glasgow Coma Scale 15/15

CliniCall consultation required to confirm transport in the following circumstances: 

• Heart rate < 50 or > 100 beats/minute
• Recent cardiac dysrhythmias within six hours of transport
• Recent cardiac chest pain within three hours of transport
• Recent thrombolysis within three hours of transport

Contraindications

Procedure

1. Assess the patient for indications.
2. Complete a full assessment including:
   • Full patient history
   • Complete physical exam
   • Vital signs
   • Baseline ECG
3. Indications met with EPOS/CCP-A approval:
   1. Continue with monitoring
   2. Confirm transport logistics of transfer
   3. Load and transport patient
4. Change in patient condition during transport:
   • If the patient becomes unstable during transport:
     • Unresponsive or decreased LOC
     • Seizures
     • Hypotension
     • Cardiac chest pain
     • Severe shortness of breath with dyspnea
   • Contact CliniCall/CCP-A for consultation
   • If closer to hospital, transport directly to the hospital and notify dispatch of the change in patient status.
   • If closer to an arriving critical care transport team, notify team and continue meet.

Notes

See also: LifePak 15 Primary Care Paramedic Standard Operating Procedure

Resources

For clinical support please contact Clinicall (1-833-829-4099)

For additional information contact your regional Paramedic Practice Educator (PPEd)

References