robertsdvd

It came up today, I'm in MA and "practice" as a Basic. It was drilled into me that there were certain contraindications to administering ASA for ischemic CP. 1) Allergy or "Hypersensitivity" 2) Pregnancy 3) Recent GI Bleed 4) Recent Trauma/Surgery 5) Currently on Anti-coagulation therapy. These I got from EMT school and EMS academy, I just checked all my notes and books and all say essentially the same thing. An ALS coordinator said the only contra- was an allergy. We checked the back of the protocol book and it said "Hypersensitivity" and GI Bleed and a caution towards using it on women who are pregnant. So, I asked around our BLS population and seemed to get an idea, these are Basics from different schools and different regions - and what came clear was that anyone who has been a Basic for maybe less than 5 years considers whether or not the pt. is on some sort of anti-coagulation therapy and considers it a contraindication - whereas providers who have been longer than 5 years on seem to say the only contra- is the allergy and give it. Any comments? Discussion? Trying to figure out the rift and, if indeed, these are not contraindications, why they're being taught as such at different schools.