Southwest Ontario Regional Base Hospital Program

A new #sworbhpAskMAC question regarding COVID-19 has been posted. Please view the link below for more details... Continue reading: https://askmac.sworbhp.ca/tag/february-4th-2021

#sworbhpTOTW - February 3rd, 2021 If using your personal phone for BHP patches, please ensure that you have the correct numbers programmed in. We continue to see the Secondary BHP being utilized as the Primary BHP due to this. The correct numbers can be found in memo’s circulated on November 27th, 2020 and December 17th, 2020 or you can inquire with your Service Leads for the correct numbers. Continue reading: https://askmac.sworbhp.ca/3564

From February 1st to February 8th IQEMS will have an extended downtime. Medics will be able to self-report within IQEMS during this downtime and as always our self-reporting toll free number 1-888-997-6718 will be available as well. Medics however, will be unable to respond to any outstanding feedback requests during this downtime.

Please be advised that IQEMS will be unavailable from January 3, 2021 at 1000 hrs to January 4, 2021 at 1600 hrs. This period of downtime is scheduled for maintenance and upgrades to IQEMS. Thank you for your patience.

SWORBHP has been made aware of an issue with the OPCG app that occurred earlier this morning causing all of the content within the app to removed. The app developer has been contacted regarding this issue. There is currently no ETA on a solution. We will update you further with more details as they become available. Thank you for your patience and understanding regarding this issue.

A new series of #sworbhpAskMAC questions have been posted. Please click on the link below if you would like to review the questions along with the answers from our MAC! Link: https://askmac.sworbhp.ca/tag/29-jan-2021

Centralized Patching Tip of the Day #6: At the beginning of a patch, identify: who you are, your level of certification, and the Service you are working for. At the end of the patch, please provide your Run Number. Understanding the complexity of some calls (cardiac arrest, critically ill patients) the Run Number may not be readily available. Please call the BHP back with the Run Number once transfer of care has occurred.

SWORBHP is happy to take part in #BellLetsTalk day to help both bring forth the discussion and end the stigma surrounding mental health.

Centralized Patching Tip of the Day #5: All LHSC ED physicians have received multiple communications about their roles as Centralized BHPs between 23:00-07:00 as well as their role as the BHP Secondary if the BHP Primary line fails. Please understand that there may be some confusion among a few of the LHSC patch physicians as to why they are receiving Regional Patches. We expect that this will decrease as this process becomes the norm.

Stay tuned for the release of a SWORBHP podcast this week on Epi use in the Bronchoconstriction Medical Directive. It was recorded on Friday and is in the final editing stages prior to release.

On behalf of the Staff & Medical Directors at the Southwest Ontario Regional Base Hospital Program, we would like to wish you a safe, healthy and happy holiday season!

Centralized Patching Tip of the Day #4: A reminder that when you are calling the BHP Primary phone line, the individual answering the phone will be the BHP between 07:00 and 23:00. You no longer have to talk to a triage nurse, clerical clerk between the hours of 07:00 and 23:00

In December SWORBHP started a Centralized Patch Pilot. Since the rollout, we have made many improvements based on our findings and your feedback. We have created the following infographic based on the first 20 days of the pilot. We appreciate your ongoing support of this important initiative. Infographic: https://www.lhsc.on.ca/media/9085/download

Per the latest OBHG MAC Considerations for Paramedics Managing Patients during the COVID-19 Pandemic, effective immediately, IM epinephrine should NOT be administered to patients greater than 50 yrs of age, under the Bronchoconstriction Medical Directive. https://www.lhsc.on.ca/media/9082/download

#sworbhpTOTW - January 4th, 2021 The ongoing COVID-19 pandemic holds many mysteries. Among the more baffling has been the frequency of silent hypoxemia, or Happy Hypoxia... Continue reading: https://askmac.sworbhp.ca/3449

Check out the educational resources on the PPO for the ALS-PCS v4.8 update, highlighting the practice changes. For full details, see the memo sent out to you from your service.

#sworbhpAskMAC - November 10th, 2020 6 New Ask MAC questions have been posted! Click below to read more:... https://askmac.sworbhp.ca/tag/10-nov-2020 See more

#sworbhpTOTW - November 18th, 2020 Adult vs Pediatric Arrest Dosages From the Grey Zone presentation: Remember that the age cut-off for adult Epi and Antiarrhythmic medication in Cardiac Arrest is 12 years-old.... Read More Tips: https://askmac.sworbhp.ca/tip-of-the-week

SWORBHP is happy to announce that Episode 5 of The SWORBHP Podcast is now live! This episode covers tracheostomies with Dr. Valdis and Dr. Kelton. You can listen over on Podbean as well as on all major Podcast Apps (Apple, Google, TuneIn, and more!)... https://sworbhppodcasts.podbean.com/e/the-sworbhp-podcast-/

For PCPs interested in additional optional 2020 MCME material, the ACP content is now available on the portal for all to review. #sworbhp #mcme2020

IQEMS is currently undergoing scheduled maintenance and upgrades therefore will be unavailable during this time. If you wish to self-report during this time, please call 1-888-997-6718. Please note that Medics will be unable to reply to feedback requests during this downtime.

#sworbhpAskMAC October 22nd, 2020 A new question and answer has been posted to Ask MAC regarding COVID-19! Please click on the link below to read more:... https://askmac.sworbhp.ca/tag/22-oct-2020

#sworbhpTOTW - October 21st, 2020 From the Online ACP Case Study Syncope Module: Management of Polymorphic VT due to Prolonged QT... - Pads on and IV initiation for transport when Long QT found with history of syncope - Tachydysrhythmia Medical Directive* - Medical Cardiac Arrest Medical Directive* *Be cautious with amiodarone as it has properties that increase QT and can worsen arrhythmia Read More Tips: https://askmac.sworbhp.ca/tip-of-the-week

#sworbhpTOTW - November 4th, 2020 From the Grey Zone presentation: Hospital Proximity should not typically play a role in decision to transport. Unless the patient has a potentially reversible cause of arrest that cannot be treated prehospitally, they should receive the best possible resuscitation in the field before consideration for transport. Don’t let hospital proximity distract you from your lifesaving resuscitation! *Thanks to our PHCS Micheal Filiault for this awesome ...reminder Read More Tips: https://askmac.sworbhp.ca/tip-of-the-week

The SVT Modified Valsalva Maneuver is now available under medical references on the OPCG App! If you haven’t already, please update the app to view all of the new information available to you!

#sworbhpTOTW - October 16th, 2020 Eyeball method for measuring the QT interval: If the T wave ENDS at greater than 1/2 the distance between the R-to-R interval, this means the QT is likely prolonged (>500 msec). Read more Tips of the Week here: https://askmac.sworbhp.ca/tip-of-the-week

SWORBHP would like to wish you all a safe and happy Halloween this year. We went all out with our costumes. Comment below to let us know which one is your favourite.

Don’t forget our new SWORBHP podcasts are worth 0.5 CME points each. Check them out and submit those points! Listen today on Podbean, Apple Podcasts, Google Podcasts, as well as other major podcasting applications! Podbean: https://sworbhppodcasts.podbean.com/... #sworbhppodcast #paramedic #sworbhp

#sworbhpPodcast Episode 5 is coming soon The next episode of The SWORBHP Podcast will be releasing very soon. In the upcoming episode Dr. Lauren Valdis and Dr. Danielle Kelton discuss tracheotomies, your Emergency Tracheostomy Tube Reinsertion Medical Directive, and more!

SWORBHP is happy to announce that Episode 4 of The SWORBHP Podcast is now live! This episode covers the questions you have had so far from the 2020 MCME. You can listen over on Podbean as well as on all major Podcast Apps (Apple, Google, TuneIn, and more!)... https://sworbhppodcasts.podbean.com/e/mcme-q-a/ #sworbhppodcast #paramedic #podcast #sworbhp

#sworbhpPodcast Coming soon The next episode of The SWORBHP Podcast will be releasing very soon. In the upcoming episode Dr. Lauren Valdis and SWORBHP’s Education Coordinator Lyndsey Longeway will be answering your questions regarding the 2020 MCME content. Remember to follow us to stay up-to-date on all of the latest news regarding The SWORBHP Podcast and so much more!

#sworbhpTOTW - October 7th, 2020 From the Grey Zone presentation: A protocol (or treatment under the Medical Directive) ends when 1. Transfer of care is complete, -OR- 2. If/when the patient becomes symptom-free. To read more tips, click the link below:... https://askmac.sworbhp.ca/tip-of-the-week See more

#sworbhpAskMAC New Ask MAC questions have been posted! Click below to read more! https://askmac.sworbhp.ca/tag/07-oct-2020

The SWORBHP Podcast is now available anywhere you are through Apple Podcasts! Subscribe now to stay up-to-date on all of the latest news and information regarding The SWORBHP Podcast, including new episodes as they are released! https://sworbhppodcasts.podbean.com/... #sworbhppodcast #sworbhp #paramedic #podcast

#sworbhpTOTW - Septermber 30th, 2020 Per the Tachydysrhythmia Medical Directive, BOTH cardioversion for unstable patients and amiodarone/lidocaine administration for stable patients requires a BHP patch/order. To read more tips, click the link below:... https://askmac.sworbhp.ca/tip-of-the-week

Have questions regarding the content of the 2020 MCME content? Whether your question is about the live sessions or the online content, feel free to send them in through the form that can be found at the link below! https://apps.lhsc.on.ca/?q=forms/sworbhp-mcme-2020-questions