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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

02 April 2024

OMC Evolution

We're thrilled to share an exciting update that will improve patient care: the expansion of Online Medical Consultation (OMC) services to two more base hospitals - the Centre for Paramedic Education and Research (CPER) in Hamilton, and Health Sciences North (HSN) in Sudbury.
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.
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Ontario Paramedic Clinical Guide

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Latest MedicASK Questions

Newborn Resuscitation and NRP 8th ed. guidelines
Question: I recently did my NRP and was wondering why our neonatal resuscitation guidelines don't lineup with the NRP protocols. We have two discrepancies: 1: NRP teaches one full minute of PPV, we do 30 sec...
Ventilator to BVM transition Best Practice
Question: I am writing to seek guidance and support on situations where I am required to transition patients from ventilators to manual BVM ventilation. While performing this crucial task, I have noticed tha...
CPR Induced Consciousness
Question: My question is regarding sedation strategies for CPR induced consciousness (CPRIC) CPRIC is quite rare, however there is currently no standing order from base hospital in regards to management. Pa...
Targeted Temperature Management
Question: What is RPPEO's direction on prehospital therapeutic hypothermia for ROSC patients? There is research that supports this practice for suspected cardiac-origin cardiac arrest patients and is, in fac...
IV Pressure Bag Use
Question: Is pressure infusion bag restricted to ACP scope of practice or can PCP AIV also use it?

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.