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:
CLI 120 – Ordering and Managing Controlled Sub…
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 MedicL…
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…
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…
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…
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.
In accordance with our preoccupation for patient safety, the Medical Advisory on Bougie Use Through Suction Catheter 2025-01 presents gui…
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.
What’s New
ALS PCS v5.4 includes:
Revised core directives such as analgesia, nausea/vomiting, and…
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.
In this issue:
🆕 ALS PCS v5.4 Comes Into Force – June 2, 2025
One of the most significant updates in recent years, ALS PCS v5.4 introduces new directives, revised protocols, and clarifies sta…
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Latest MedicASK Questions
Tendon Stretch Reflexes
Question: What is the relevance of tendon stretch reflexes in the prehospital environment, and is it within the paramedic's scope of practice to assess or elicit tendon stretch reflexes? I understand that foca…
Verbal DNR from Patient
Question: In the event of a patient going VSA on scene/route. If the patient verbally expresses that they do not want to be resuscitated but do not have a valid DNR filled out, do we honor this in the event of…
Nitro and Morphine Dosing Interval - Cardiac Ischemia
Question: Can nitro and morphine be co-administered for treatment of cardiac ischemia?
SIRS/Sepsis parameters
Question: It was recently brought to my attention that within the OBGH app under Medical References, the sepsis notification tool in the RPPEO region does not follow the evidence-based criteria for SIRS (for H…
Opiates and Ketamine for patients with OUD
Question: We just transported a 38F with abdominal pain x2 days. Known recreational narcotic user. Has been on methadone for a lengthy amount of time - possibly years. Mom on scene came out and without emotio…
