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(KIA SEDONA & DODGE CARAVAN)
Please review the RULES and EQUIPMENT before booking a vehicle.
IN BOTH THE KIA SEDONA AND DODGE CARAVAN YOU WILL FIND
BY CLICKING THE BUTTON BELOW I ACCEPT THESE TERMS AND PROCEDURES
Please review the RPPEO Vehicle Request Procedure before booking a vehicle.
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EQUIPMENT REQUIRED:
❑ Cold Pack
❑ Roller Gauze
❑ Splint
❑ Analgesia and associated supplies (optional)
PREPARATION:
❑Physically examine the knee to ensure the patella is laterally dislocated.
❑ Position the patient to facilitate reduction (i.e. give yourself enough space to fully extend the knee).
❑ Assess distal neurovascular status and pain before initiating reduction.
PROCEDURE:
❑ Place your thumb on one side of the patella and your index finger on the other, such that the webspace is cupping the superior aspect of the patella.
❑ Grasp the lower leg at the ankle with the other hand.
❑ Gently extend the knee while lifting up on the patella and placing medial pressure on the lateral edge of the patella.
❑ In the event of significant resistance, unmanageable pain, or interference with treatment, halt the procedure and consider rapid-acting analgesia if authorized and available for patient comfort before the second attempt.
❑ Regardless if the reduction is successful, splint the leg in a position of comfort and continue to treat it as an unstable joint injury.
❑ Reassess distal neurovascular status and pain.
EQUIPMENT REQUIRED:
❑ 10 ml syringe
❑ Cardiac Monitor
❑ Stretcher
PROCEDURE:
❑ Gather all required equipment.
❑ Explain procedure and expected outcome to the patient/guardian (if possible).
❑ Gain consent (if possible).
❑ Obtain a baseline 12 lead ECG (if not already done).
❑ Position patient into semi-recumbent position.
❑ Instruct the patient to perform a forced expiration into a 10 mL syringe for 15 seconds.
❑ At the end of the forced expiration put the syringe aside and lay the patient supine. Elevate the patient’s straight legs to a 45-degree angle for 15 seconds.
❑ Return patient to a sitting position for 45 seconds.
❑ Confirm that the maneuver was successful. If patient still presenting in SVT repeat the procedure one more time (maximum of 2 attempts per patient).
COMPLICATIONS/CONSIDERATIONS:
❑ Tachydysrhythmias may take up to 1 minute to convert, allow a reasonable amount of time between Modified Valsalva attempts.
❑ The Modified Valsalva maneuver has been shown to be significantly more effective in resolving SVT within one minute when compared to the standard Valsalva maneuver (43% vs 17%). This maneuver has also significantly reduced the need for Adenosine use as well (50% vs. 69%) (Appelboam, 2015).
EQUIPMENT REQUIRED:
❑ Suction catheters (appropriate sizes)
❑ Water-based lubricant
❑ Suction equipment
❑ Tape
PREPARATION:
Conventional Suction Catheter**
❑ Using the appropriate suction catheter diameter, measure the i-gel cradle and add 2 cm.
❑ Place a piece of tape circumferentially on the catheter at that measurement marker to control
the depth of insertion.
❑ Set suction to the appropriate setting and attach it to the suction catheter.
Long Suction Catheter - Insertion into Stomach (ACPs only)**
❑ Using the catheter, measure the distance from the epigastrium (between xiphoid process and umbilical area) to the ear lobe and then to the gastric port of the i-gel.
❑ Place a piece of tape circumferentially on the catheter at that measurement marker to control the depth of insertion.
❑ Set suction to the appropriate setting and attach it to the suction catheter.
PROCEDURE:
❑ Apply a small bolus of lubricant to the gastric port.
❑ Insert the catheter a short distance into the channel and move it in and out to prime it.
Conventional Suction Catheter**
❑ Insert the suction catheter into the gastric channel until the taped marker is reached.
❑ Secure the catheter in place with tape.
❑ Continue suctioning until fluid disappears OR there is no fluid return after 15 seconds.
Long Suction Catheters - Insertion into Stomach (ACPs only)**
❑ Insert the suction catheter into the gastric channel until the taped marker is reached.
❑ Secure the catheter in place with tape.
❑ Continue suctioning until fluid disappears OR there is no fluid return after 15 seconds.
**Long suction catheters may be used as conventional suction catheters.
EQUIPMENT REQUIRED:
❑ Pelvic Sling by SAM Medical
PROCEDURE:
❑ Maneuver the middle of the belt under the pelvis to align with the greater trochanters.
❑ Place the black strap through the buckle.
❑ While holding onto the orange strap, tighten the black strap until you hear and feel the buckle click and lock.
❑ Maintain tension and press the black strap onto the velcro surface of the SAM Pelvic Sling to secure it.
EQUIPMENT REQUIRED:
❑ T-POD Pelvic Stabilization Device
❑ Shears
PROCEDURE:
❑ Maneuver the middle of the belt under the pelvis to align with the greater trochanters.
❑ Cut the belt, leaving a 6 - 8” (15 - 20 cm) gap between the two ends at the patient’s midline.
❑ Apply the velcro-backed mechanical advantage pulley system to each side of the trimmed belt.
❑ Slowly draw tension on the pull tab, creating simultaneous, circumferential compression.
❑ Secure the velcro-backed pull tab to the belt.
EQUIPMENT REQUIRED:
❑ Non-stretch sheet
❑ Clamps (optional)
❑ Tape (optional)
PREPARATION:
❑ Fold a non-stretch sheet to measure from the patient's iliac crest to the pubic symphysis.
PROCEDURE:
❑ Maneuver the middle of the non-stretch sheet to align with the greater trochanters.
❑ Cross the sheet over the pubis symphysis and pull as tight as possible (preferably with two people.) Twist the sheet 2-3 revolutions.
❑ Secure the ends of the sheet by tucking in or with clamps or tape.
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Paramedic colleges or paramedic service: download and complete this PDF to request the certification of a student or paramedic.
Updated April 18, 2023
For paramedics who would like to request cross-certification in the RPPEO region from another base hospital. Please submit one form for every Regional Base Hospital Program or certifying body within the past 10 years.
Please download and save this form, then submit by email.
Details within the PDF.
Paramedic services anticipating the return to work of a paramedic who has been away for 90 days or more, please complete this form to submit a Return to Clinical Practice request on behalf of the paramedic.
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Hosted by the Regional Paramedic Program for Eastern Ontario
Join us as a sponsor at 'OBHG24: 15 Years in the Making,' a pivotal event scheduled for September 24 - 26, 2024. This gathering serves as a unique crossroads where industry leaders, healthcare professionals, and experts convene to shape the future of emergency paramedic care in Ontario. Your sponsorship offers a prime opportunity to actively guide discussions, influence strategies, and contribute expertise to chart innovative solutions for Ontario's ever-evolving healthcare landscape. Join this collaborative journey towards person-centered emergency care and be an essential driver in steering the course of emergency paramedic care towards a brighter, more patient-centric future.
We are seeking sponsors who bring diverse expertise and perspectives to OBHG24. Ideal sponsors include organizations or entities well-versed in adult learning, quality management, risk assessment, emergency healthcare, research, technology, or partner engagement within the healthcare sector. Sponsors with a passion for driving innovation, a commitment to person-centered care, and a desire to shape the future of emergency paramedic care in Ontario will find this Annual Meeting a valuable platform to showcase their expertise and contribute to collaborative discussions. Whether you're an industry leader, a healthcare innovator, or an expert in any of these fields, your sponsorship will play a vital role in steering the direction of emergency paramedic care for a more inclusive, resilient, and patient-centric future.
Sponsoring OBHG24offers a unique opportunity to engage with a diverse spectrum of professionals shaping the future of emergency healthcare.
As a sponsor, you'll have exclusive access to Ontario's ambulance system medical directors and base hospital physicians – all emergency physicians - paramedics, and hospital staff from seven major teaching hospitals, including representatives from Ornge, Ontario's air ambulance provider. Sponsors will interact with decision-makers and leaders at the forefront of patient quality & safety, adult continuing medical education, health data management, health and human research, and health communications. This access presents an unparalleled chance to network, collaborate, and forge connections with key influencers and innovators driving transformative change in Ontario's emergency healthcare landscape. Your sponsorship not only showcases your commitment to advancing healthcare but also offers an invaluable platform to engage with thought leaders and decision-makers shaping the future of emergency paramedic care.
Download the OBHG24Sponsorship Proposal as a PDF.
OBHG24_Sponsorship_Proposal.pdf
Accelerator Sponsor
ZOLL® is focused on improving outcomes with novel resuscitation and acute critical care technology.
Vanguard Sponsor
Vanguard Sponsor
Prehos redefines paramedic's time
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Your online time card. Schedule time off, view your vacation bank, staff schedule and more.
Access the following applications on the TOH Network:
Files and resources
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Certain approved programs in our area may publish additional guidance for the safety and quality of care of the patients who benefit from the program. Examples of these regional programs include stroke or trauma bypass and the Paramedics Providing Palliative Care program. The RPPEO partners with the groups who lead these initiatives to help inform their processes. The responsibility to monitor and update these standards rests with the organizations who lead these programs. For this reason, the RPPEO does not re-publish regional or local program documents.
The RPPEO publishes policies for paramedics to use in their clinical work and professional certifications. Our policies help paramedics understand what is expected in terms of process, timing, reporting, documentation and other rights and responsibilites.
Ontario provicial standards set the expectations for paramedic clinical practice. They are provincially developed and maintained through the Ontario Base Hospital - Medical Advisory Group and approved by the Ministry of Health's Director of the Emergency Health Regulatory and Accountability Branch (EHRAB). Paramedics across Ontario are expected to provide clinical care by following these standards: