antc

Does anybody have any links to information where Metoclopramide is indicated for these symptoms. We have talked about this for years on the road down here and always believed that it would be more problematic than beneficial. A Dr gave it to patient I had two days ago even though he was unsure if he should. So I'm just after some evidence and or your own experiences.

Not sure how many of you would use metoclopramide however, would you give Metoclopramide to a patient with the above presentation. Why or why not?

We currently use lifepak 12 for stemi and go directly to the cath lab. We see the benefits as sometimes we will watch the procedure whilst completing paperwork or if it's quiet. Watching a bradycardic patient with a blocked RCA being reperfused and their heart rate increase and discharged the next day is amazing. We have patients who have arrested, been defibed back into a perfusing rhythm enroute and still bypass a hospital and straight into the lab. Take them to the local hospital and shorten / end their life or wreck their quality of life. Lots of our patients have been reperfused in less than one hour from when they ring.