We are attempting to restart ACLS recertification, but require updated CPR.  With regards to the CPR recert I have questions regarding regular community/ bystander CPR and if chest compressions are indicated if you do not know if the person is suspected or confirmed COVID +?

In the spring of 2020 Interior health advised that CPR was an AGMP and that PPE + N95 masks were required before CPR could be started.  This from an April 2020 update.

https://www.interiorhealth.ca/YourEnvironment/CommunicableDiseaseControl/covid19/IH-PH-COV-368%20Memo_Code%20Blue%20Response%20Principles_08Apr2020.pdf

This is also confirmed by the BCCDCs protocol

http://www.bccdc.ca/Health-Info-Site/Documents/COVID_Adult_CPR_Protocol.pdf

however looking at the Canadian  Heart and Stroke foundation guideline for CPR:

https://na94.salesforce.com/sfc/p/#A0000000BYzI/a/2K000000Uwfs/WVEuMt5NrCJiwkMIQovXBzyXpoxH1VKIsMuyYZFkJoc

for health care providers if you suspect COVID then of course don PPE/N95, but what about in the community or on the street if you do not know the risk/ COVID status of the person?  do you start CPR?

Hi

Just wondering if there is any work/research/thoughts anywhere about what are the minimum standards to work in an ER. I see some ERs have no lab or XRAY. Some have limited POC. Some have one nurse and others have none. In some ERs , the docs are first call.

Is there a link between the population, which in turn dictates the acuity and frequency of the cases and the minimum standards ER docs need to have to support quality care?

Just curious if anyone has ever thought about this?

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