The Regional Paramedic Program for Eastern Ontario is pleased to launch Spring 2023 CME's online learning component on Monday, March 27, 2023.

In Spring 2023 CME, RPPEO presents "Discharge from Care," provincially developed training about out of hospital treat and discharge. This is the training that paramedics require to receive authorization to apply the new auxiliary medical directive options in the Advanced Life Support Patient Care Standards (ALS PCS) version 5.1 for patient discharge planning.

The Online Medical Consultation (OMC) service is supporting paramedicine in our region with real-time physician consultation for paramedics during patient care. To further enhance the use of this critical service, we are thrilled to announce the launch of the OMC YouTube Channel.

This dedicated platform features the OMC Video Series, designed to empower paramedics and Base Hospital Physicians with practical insights, actionable tips, and tools for optimizing OMC consultations. Whether you're navigating complex cases, refining communication during consultations, or staying updated on best practices, these videos are tailored to meet your needs.

The BLS Patient Care Standards are the Ministry of Health and Long-Term Care expectations with respect to how paramedics will interact with their patients.

Go to Medical Directives

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 for opioid withdrawal in the prehospital context, buprenorphine/naloxone.

Paramedics are invited to consult Health Canada's posted version of the Canadian monograph for buprenorphine/naloxone (trade name "Suboxone") for more detailed information of this new drug's pharmacology, indications, contraindications, and risk management.

We invite paramedics who have questions or concerns about this Clinical Bulletin, naloxone, buprenorphine/naloxone, Opioid Use Disorder, or opioids more generally to contact quality@RPPEO.ca.

Note that RPPEO has not yet authorized any paramedic use of the auxiliary aspects of the Opioid Toxicity and Withdrawal Medical Directive in the ALS PCS. While buprenorphine/naloxone is not yet available for paramedic administration within the RPPEO jurisdiction, we are planning the infrastructure and training needed to support implementation of this important treatment.

Each paramedic may find their current practice authorizations in the most recent RPPEO Certification Letter available within the 'My Profile' section on MedicNET. When RPPEO issues a new Certification Letter, it is also provided to the paramedic via email.

This is the first RPPEO Clinical Bulletin. The format is intended to provide clinical discussion about issues affecting paramedic practice. RPPEO Clinical Bulletins communicate the best front-line strategies for emerging clinical issues in the region using rich formats with text, images, charts or other visual supports. In contrast to Medical Advisories, Clinical Bulletins do not provide new direction; rather, they clarify concepts and inform paramedics and other partners about clinical practice.

RPPEO Clinical Bulletins are available at RPPEO.ca in the RPPEO Policies section. 

RPPEO paramedics are invited to attend an online discussion about the landmark "DOSE VF" study on October 6, 2023 at 10am. Dr. Sheldon Cheskes, principal investigator and lead author of the paper, Defibrillation Strategies for Refractory Ventricular Fibrillation published last year in the New England Journal of Medicine, will present and host a discussion. 

This live webinar is presented as part of RPPEO Fall 2023 CME. Paramedics who attend the live event will receive credit toward Fall CME requirements. This year, ACPS are required to complete Fall CME. PCPs are welcome to attend this event and any who are planning to complete Fall CME will receive credit. 

Registration details are forthcoming.

The Regional Paramedic Program for Eastern Ontario is pleased to announce the Ottawa Hospital’s appointment of Dr. Michael Austin, MD, FRCPC, DRCPSC (PTM) to the position of Regional Base Hospital Medical Director effective July 1, 2023.

Please join me in congratulating Kerry Morris and Gregor Moffat for receiving the prestigious EMS Medal for Exemplary Service. We are extremely proud of Greg and Kerry for dedicating their lives to helping others, and for the great work they do in developing other paramedics to do the same thing. Personally, I am really thankful they have chosen to work with the RPPEO here at TOH.
-Penny Price, Program Director for RPPEO

You'll find the complete learning package for Fall 2021 CME in MedicLEARN.

This entirely online CME launched on October 13, 2021 for all paramedics certified at the RPPEO. Certified paramedics have until the end of the current certification period - January 31, 2022 - to complete Fall 2021 CME as well as any other requirements for maintenance of certification.

Get Started

The Regional Paramedic Program for Eastern Ontario is pleased to announce the full lineup for your 8-hour Fall 2022 CME!

Paramedics participating in Fall 2023 CME are invited to complete the online module now available on MedicLEARN.

Under the theme "Matters of the Heart," paramedics will learn and practice skills related to cardiac care during Fall CME. The online didactic portion accounts for 4 hours of content and includes:

• medical cardiac arrest management
• tachycardia with a focus on synchronized cardioversion
• bradycardia with a focus on transcutaneous pacing
• STEMI and sex bias
• Left Ventricular Assist Device (LVAD)