One of my colleagues expressed the belief that ventricular tachycardia and ventricular fibrillation should be treated the same way. This does not square with my knowledge of electrophysiology and pharmacology. Please comment. We wholeheartedly agree with your approach of beginning with basic cardiac electrophysiology…
FAQ of the Week: I am a paramedic who is a certified ACLS provider. There are several differences between my EMS protocols and what I was taught in ACLS. What should I do?
Your authority to practice is based on your state’s EMS laws. Most EMS systems (local, state or regional) issue system-wide standard operating procedures (SOP’s). These function in many ways like a prospective prescription from the system medical authority authorizing treatment(s) based on defined circumstances.
ACLS algorithms were developed as educational tools, not prospective standing orders. They are not a prescription. Thus, it is essential that you practice according to the guidelines established by your medical authority. If you have questions regarding your system’s standing medical orders (SMO’s), a fact-finding meeting with your medical authority (e.g. your Project Medical Director) may be useful for EMS leadership and field personnel.
AMRI Staff