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Celebrating 15 years of Service

Celebrating 15 years of Service

Improving the quality and safety of paramedicine in Eastern Ontario

Recent News and Updates

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
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.
28 December 2023

RPPEO Policies Revised: Policy CLI 180 Retired

The Regional Paramedic Program for Eastern Ontario (RPPEO) has revised several of our policies. Paramedics and others for whom RPPEO policies provide guidance should note that there are two important updates to policies CLI 180 and CLI 230. Most of the other policies reviewed received minor revisions that do not substantively impact the guidan...
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Upcoming Education Events

Latest MedicASK Questions

Is there a place in pre-hospital care for push dose epi?
Question: In severe anaphylaxis, or after 2 dose of epinephrine and a patient that is still deteriorating. Should paramedic consider initiating base hospital patch to consider IV push dose epi (1mcg/kg q 0.5...
Cardiac Ischemia Timing
Question: Considering the Cardiac Ischemia MD - Our indications are "Suspected Cardiac Ischemia" which encompasses various signs and symptoms but it does not denote a time frame. We recently had a call wher...
PHIPPA and Death
Question: I am curious on the PHIPPA guidelines surrounding a deceased patient that may be known to the paramedic's social circle. I appreciate that protecting patients health information is critical during...
If our patient has DKA, should we encourage patient insulin administration?
Question: I recently attended a call for a 30 y.o. in DKA. The patients BGL registered as "high", he was exhibiting kussmaul respirations, hypotensive, intermittently bradycardic and GCS 3. We later found ou...
Nitro for Rate Related Ischemia
Question: The recent direction from base hospital was to administer ASA regardless of the reason behind cardiac ischemia. Example: rate related pain associated with a tachydysrhythmia. Supposing you arrive ...

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.

Upcoming Education Events