Code 3 Response | Paramedic Chest Pain

Tips for paramedics when responding to chest pain call. Before and after during a Code 3 Response.

Category:

Education

Tags:

• paramedic
• ems
• emt
• prehospital care
• chest pain
• code three

[TRIXSTER03]

lol, I love how people don't understand code 3 driving and transport of the cardiac pt. When transporting a pt c/o C/P, audbile/ visual warning devices should not be used even though these pt may be RTC. One reason for this, is because the sound of the siren and the sight of the strobes/ beacons can raise the HR/ BP of the C/P pt ultimately increasing their stress levels and increasing the workload of the heart. Increasing the stress level of the C/P pt, is not good patient care.

[emssafe]

@TRIXSTER03 Good points and thanks so much for your input

[rudeboystu69]

Great narration. I'm an EMT in a casino, and we generally get no info or lead time when responding, just "someone's collapsed!". Having that time to get yourself mentally organized and get your game face on must be nice. Do your protocols allow you to administer nitro to someone who doesn't have a confirmed angina diagnosis? We'll assist with their own nitro, but we don't carry/administer our own. I guess, as you say, different protocols for different jurisdictions.

[emssafe]

@rudeboystu69 Yes, most protocols at the paramedic level do allow for NTG administration based on patient condition, complaints and assessment. I bet in the casino it is hard to get a better picture when responding. R u in Las Vegas? Next time I go to the Expo maybe we could meet.

[Irishb61589]

ha i kno excatly where this is

[emssafe]

@Irishb61589 ssshhhhhhh. lol

[emssafe]

@Kheldarren I dont know if you actually watched the video. There is siren use. This was brought up since many people might question why request an ambulance at all if you dont want lights and sirens. The suggestion regarding students was made to bring to light possible reasons for this. Thanks for the comment.

[micme0083]

better not use your siren around me or I will get excited!

[TRIXSTER03]

@nyqs81-It's also different if you live in the U.S. I beleive in most states and county's within those states, you have EMT-A's EMT-B's and then Paramedics. In Canada, we have paramedics. Starting with BLS ---->ALS--->Critical Care/ CCP---> then Infant Transport/ ITT. I guess we all have different protocols.

[TRIXSTER03]

@nyqs81--Like I said, although it is technically, a code 3 run, most paramedics go routinely because the lights and sirens can raise the HR/ BP of the cardiac pt. Even if it is an AMI, many still paramedics choose to go routine Also, I guess it's different where you live, but most cardiac pt. should be place on an ECG while enroute.

If you live in the U.S. it's different I guess. Each state/ county has there own local protocols.

[nyqs81]

@TRIXSTER03 That actually depends. Where I work sometimes there in not a Medic available so sometimes if the patient has the signs and symptoms of an acute coronary episode we will go hot the facility without a monitor to confirm everything. The only time I have gone hot to the hospital with a paramedic aboard is for a cardiac arrest and stroke.

[avalanchecop]

o ok sorry then i was in a bad mood anyway no neeed for cussing

[TRIXSTER03]

@emssafe-Hey your welcome, no problem :)

[MASKtheband]

good driving



[emssafe]

@nwvfd22 thanks for the feedback. These videos are indeed meant for anything but the siren use.