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Recent News and Updates

22 May 2024
It is Paramedic Services Week and the RPPEO would like to acknowledge and honor the hard work and dedication of the paramedics of Eastern Ontario. Over the past year more has been asked of paramedics than ever before, and you have answered the call. Every day you respond to calls for help from the ill and injured. Each call for service is made b...
02 April 2024
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
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
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 RPPEO.ca.
27 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
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
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
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 ...
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Latest MedicASK Questions

Pediatric Chest Needle Sizing
Question: What size needle/catheter size is recommended for Pediatric chest needle decompression. Is there weight ranges etc . Difficult to find literature on this topic .
Ondansetron Administration to Altered Patients
Question: Can we administer an ondansetron to an altered patient? Withholding dimenhyDRINATE in this patient cohort is intuitive due to its sedative effects, but what is the reasoning for withholding ondan...
NPA use in mid-face and/or basal skull fracture patients
Question: Is an NPA contraindicated with suspected mid-face or basal skull fracture?
Morphine Allergy
Question: Can a patient who has an allergy to morphine receive fentanyl? Also, I have seen several patients allergic to morphine, have hydromorphone or Dilaudid on prescription, why is this?
Is continuous normal ECG data required to be documentation on the ACR
Question: With rhythm analysis, if the initial one added to the ACR is normal, and throughout the call/transport, if the rhythm remains normal, do you have to continue to upload the ECG to the call to show i...

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.