Ontario Paramedic Practice Exam

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During a medical cardiac arrest, when is the mandatory provincial patch point?

Before starting CPR
After patient assessment
After the second analysis
After the third analysis to consider medical TOR (if applicable), 4th analysis will occur if TOR doesn't apply or patch fails

The correct answer is: After the third analysis to consider medical TOR (if applicable), 4th analysis will occur if TOR doesn't apply or patch fails

The mandatory provincial patch point occurs after the third analysis if the team has decided to consider medical termination of resuscitation (TOR) or if the initial patch fails. This is because the focus should be on providing proper CPR and addressing potential reversible causes of the cardiac arrest before deciding to end resuscitation efforts. Starting the provincial patch process too early, at the first or second analysis, could delay the prompt and efficient delivery of life-saving interventions. Furthermore, patching after patient assessment (B) or after the second analysis (C) could also lead to a delay in proper care as the team would still be focusing on delivering CPR and addressing any reversible causes. Therefore, it is important to follow the protocol and wait until after the third analysis to consider medical TOR or initiate patching if needed.