Recent News and Updates
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…
Welcome Dr. Sara-Pier Piscopo – Associate Medical Director
We are pleased to announce that Dr. Sara-Pier Piscopo has joined the Regional Paramedic Program for Eastern Ontario as a new Associate Medical Director.
Dr. Piscopo is a pediatric emergency physician with a strong background in prehospital and transport medicine. She completed her fellowship in Prehospital and Transport Medicine (P…
RPPEO Clinical Bulletin on Measles Management Released: Reinforcing Best Practices for Infectious Disease Assessment & Transport
The Regional Paramedic Program for Eastern Ontario (RPPEO) has released a Clinical Bulletin on Measles Management, developed in response to the 2025 Ontario measles outbreak.
This Clinical Bulletin reflects collaboration with paramedic services across Eastern Ontario, with particular thanks to the Ottawa Paramedic Service for providing valuable f…
Trauma Days Are Back in 2025!
The Regional Paramedic Program for Eastern Ontario (RPPEO) is excited to announce the return of Trauma Days for 2025! Following another year of success, Eric Gagnon is back to deliver his popular and informative Trauma Day Continuing Medical Education (CME) sessions.
Spring 2025 CME Now Available in MedicLEARN
The online module for RPPEO's Spring 2025 Continuing Medical Education (CME) program is now available on MedicLEARN!
All Advanced Care Paramedics and those Primary Care Paramedics participating in Spring CME are encouraged to complete the online portion as soon as you can. The module available on MedicLEARN must be complete before paramedics unde…
MedicNEWS for March 2025
Welcome to the March 2025 issue of MedicNEWS! This edition brings you clinical updates, continuing education opportunities, and system-level developments that impact paramedic practice in our region and beyond.
News Nuggets – Quick, relevant updates from the world of paramedicine, including a critical look at a recent study on physician-paramedic…
Upcoming Education Events
RPPEO Forms
Latest MedicASK Questions
Nitroglycerin administration with borderline VS
Question: Hello, I have a question regarding Nitroglycerin. Assuming they meet all indications, conditions and have no contraindications, Say I give Nitro to a Patient and there originally BP was 120/80, and I…
Seizure Medical Directive and PNES
Question: My question is in regard to treatment expectation when faced with Psychogenic Nonepileptic Seizures(PNES). We have a "frequent flyer" in our service area that is diagnosed with PNES. Sometimes the c…
Cardiac Ischemia Treatment
Question: Under the Cardiac Ischemia MD, is there ever a case in which it is acceptable to give ASA but not NTG (assuming conditions/contraindications are met for both)? We often see otherwise healthy patient…
Opioid Use and Labour
Question: Why is active labour contraindicated for narcotics when narcotics are routinely given at hospital for labour, epidurals contain fentanyl and active labour is our common reference when asking patients…
Methoxyflurane & Temperature
Question: In regards to the methoxyflurane study, in the protocol itself there is no stipulation for a specific cutoff regarding an increase in temperature. At which point (what tympanic temperature) should th…
