Celebrating 15 years of Service
Celebrating 15 years of Service
Improving the quality and safety of paramedicine in Eastern Ontario
Recent News and Updates
02 April 2024
OMC Evolution
We're thrilled to share an exciting update that will improve patient care: the expansion of Online Medical Consultation (OMC) services to two more base hospitals - the Centre for Paramedic Education and Research (CPER) in Hamilton, and Health Sciences North (HSN) in Sudbury.
28 February 2024
Spring 2024 CME Launches March 13, 2024, on MedicLEARN
RPPEO Spring 2024 CME is launching online on Wednesday, March 13. The RPPEO's Spring continuing medical education module is aimed at ACPs. PCPs from paramedic services supporting participation are also welcome to participate in the Spring session.
RPPEO today emailed a Spring 2024 CME Launch Letter containing details of the education to each ce...
28 February 2024
Medical Advisory on Cardiac Arrest On-scene Resuscitation Time
A new RPPEO Medical Advisory is in effect.
Medical Advisory on Cardiac Arrest On-scene Resuscitation Time (2024-01) provides clinical practice guidance for RPPEO-certified paramedics.
You may find this Medical Advisory and other written RPPEO guidance in the Policies and Practices section of RPPEO.ca.
27 February 2024
MedicNEWS for February 2024
In this issue of MedicNEWS:
Spring 2024 CME Announced! in Continuing Education
Paramedics on the Front Lines of the Opioid Crisis in BHP Corner
Corresponding about Quality & Safety
A New Clinical Bulletin to Help Your Practice
RPPEO is Hiring in Announcements
MedicNEWS is the RPPEO bi-monthly news magazine for paramedics in Eastern...
09 February 2024
ALS PCS v5.3 in Force February 9, 2024
The Ministry of Health has issued a revised version of the Advanced Life Support Patient Care Standards (ALS PCS). Version 5.3 came into force on February 9, 2024.
ALS PCS v5.3 added intranasal glucagon to the Hypoglycemia Medical Directives for trained and authorized paramedics.
05 February 2024
OBHG Seeks Paramedics for Provincial Committees
The Ontario Base Hospital Group (OBHG) is seeking applications for new representation from front line paramedics for all provincial committees:
Ontario Base Hospital Group Medical Advisory Committee (OBHG MAC) -2
Data Quality Management Subcommittee (DQM) -1
Education Subcommittee (ESC) -1
Term: April 1, 2024 – March 31, 2027
For ...
18 January 2024
Clinical Bulletin on OUD, Buprenorphine/naloxone, and Naloxone
A new RPPEO Clinical Bulletin on Opioid Use Disorder, Buprenorphine/naloxone, and Naloxone is now available.
This Clinical Bulletin provides paramedic practice guidance from the Regional Medical Director on the appropriate administration of naloxone in the context of opioid toxicity, and differentiates naloxone from the new combined medication ...
11 January 2024
ALS PCS v5.2.1 in Force January 10, 2024
The Ministry of Health has issued a revised version of the Advanced Life Support Patient Care Standards (ALS PCS). Version 5.2.1 came into force on January 10, 2024.
ALS PCS v5.2.1 corrected the adult doses for atropine and the pediatric doses for pralidoxime in both the PCP and ACP Nerve Agent Exposure Medical Directives.
RPPEO Forms
Latest MedicASK Questions
Bradycardia Definition
Question: In medical literature (AHA , National Institutes of health), bradycardia is most often defined as a rate < 60. In our ALS PCS under "Age and Vital Signs" it is defined as a rate of <50. Whic...
Needle Thoracostomy: Tape vs Commercial Seal
Question: Version 5.1 of the ALS-PCS Companion Document states, "[a] chest seal blocks your view of the needle, and there is limited evidence to demonstrate a benefit" (p 41), and "secure the catheter in pla...
Prescribed Anticonvulsant Medications and the T&D directive
Question: As per the treat and discharge - seizure considerations it states “the patient is taking their anticonvulsant medication as prescribed”, but what if the patient isn’t prescribed any anticonvulsant ...
Palliative Care Medications
Question: Can you administer palliative medications to a palliative pt. if transport to hospital has been initiated? Does this require a patch? Is this applicable for any/all palliative meds or only select o...
AIV Documentation - Concentration
Question: I was going over the PCP AIV package. In documentation, it states you have to document the drug concentration as well as dosage and route. In the ACR completion manual (version 3.0 2017), there is ...
RPPEO Medical Team
RPPEO MedicASK provides paramedics the opportunity to ask questions to our Medical Directors regarding ALS PCS medical directives or other related patient care opportunities.
All questions will be reviewed and answered by staff within the RPPEO. Please browse through our questions and answers, as well as the latest ALS or BLS Patient Care Standards or Companion Document for the Advanced Life Support Patient Care Standards.