Improving the quality and safety of paramedicine in Eastern Ontario
The Regional Paramedic Program for Eastern Ontario is proud to support the advancement of professionalization in paramedicine. We recognize that innovations in governance, oversight, and stewardship are essential to advancing the growing maturity and recognition of the paramedic profession. RPPEO is committed to supporting initiatives that strengthen the capacity, responsibility, and excellence of paramedic care in Ontario, and we are proud to collaborate with system partners in building a strong, accountable future for paramedics.
Recent News and Updates

Policy Revision: Ordering and Managing Controlled Substances
As part of our ongoing work to strengthen medication stewardship and controlled substances oversight, RPPEO has completed a review and revision of several internal policies. While most changes were administrative or formatting in nature, we made one substantive revision that may affect clinical work:

Announcing RPPEO Fall 2025 CME
The Regional Paramedic Program for Eastern Ontario (RPPEO) is pleased to introduce the Fall 2025 Continuing Medical Education (CME) course Critical Interventions, Critical Thinking: From Emergency Childbirth to Medication Safety.
Starting on Tuesday, September 2, 2025, paramedics will have access to the Fall 2025 CME online module via MedicLEARN. This hybrid CME session is designed to enhance your critical thinking and skill mastery in essential areas of paramedic practice.

Help Shape the Future of Paramedic Care: Join RPPEO’s Clinical Practice Evidence Panel (CPEP)
Are you passionate about evidence-based practice? Do you want to collaborate directly with physicians and clinical leaders to guide the next evolution of paramedic care? Here's your chance.
The Regional Paramedic Program for Eastern Ontario (RPPEO) is excited to announce recruitment for the Clinical Practice Evidence Panel (CPEP) — a select group of paramedics who will help lead the Comprehensive Medical Directive Review (CMDR).

New Medical Advisory: PCP-AIV STEMI Bypass to UOHI
RPPEO has issued a new Medical Advisory (MA-2025-02) providing clinical guidance on STEMI Hospital Bypass by Primary Care Paramedics (PCPs) with Autonomous IV (AIV) certification. The Medical Advisory comes into effect on July 22, 2025.
This advisory recognizes that PCPs with AIV certification are equipped to effectively manage hypotension, enabling them to safely apply STEMI bypass criteria under circumstances previously limited to Advanced Care Paramedics. Specifically, it outlines when bypass to the University of Ottawa Heart Institute (UOHI) is appropriate for stable STEMI patients treated by PCP-AIVs.

Now Accepting Applications Until June 23 – Education Facilitator Opportunity
We are seeking exceptional Primary and Advanced Care Paramedics to join our team as Education Facilitators.
Help Shape the Future of Paramedicine
As an Education Facilitator, you’ll take a lead role in strengthening paramedic practice across Eastern Ontario. Whether it’s through delivering Continuing Medical Education (CME) sessions or assessing paramedics during Entry to Practice Certification, this role offers a meaningful way to contribute to clinical excellence.

Medical Advisory on Bougie Use Through Suction Catheter
A new RPPEO Medical Advisory is in effect.
Medical Advisory on Bougie Use Through Suction Catheter 2025-01 provides clinical practice guidance for RPPEO-certified paramedics.

ALS PCS v5.4 Comes Into Force June 2, 2025
The Ministry of Health has released ALS PCS version 5.4, which will come into force on Monday, June 2, 2025. This update includes meaningful changes to both core and auxiliary medical directives that impact clinical practice across the region.

MedicNEWS for May 2025
As paramedics, staying informed means staying ready. In this edition of MedicNEWS, we spotlight several developments shaping your practice this spring.
Upcoming Education Events
RPPEO Forms
Latest MedicASK Questions

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



