In this issue

• Leading the Way: A Video Message for You from Your Medical Director
• The Unexpected Consequences of Epinephrine in BHP Corner
• Side Hustle: How about a part-time gig with RPPEO?! In Announcements
• The Missed Opportunity: How Paramedics Can Influence Patient Outcomes in Quality & Patient Safety
• Discharge Risks: A Comprehensive Guide for Paramedics in A Window on Care
• The Game-Changers: The Latest Medical Advisories You Can't Afford to Miss
• Are YOU Authorized for Patient Discharge? in Continuing Education

The Ontario Base Hospital Group Education Subcommittee (OBHG ESC) has released its Companion Document for the Advanced Life Support Patient Care Standards version 5.1. 

The Companion Document is an educational tool that helps to provide clarification on changes and updates to the Advanced Life Support Patient Care Standards.

Medical Directives Page

In cases of cardiac arrest where a patient’s wishes are for do not resuscitate (DNR) but no Ministry of Health DNR Confirmation Form is available, paramedics should consider patching to a Base Hospital Physician (BHP) to consult on the appropriateness of withholding further resuscitation.

The Regional Paramedic Program for Eastern Ontario today rescinded Medical Advisory 2023-02 entitled, "DimenHYDRINATE (Gravol) for Patients 65 and Older."

Paramedics should now follow guidance provided by the Ministry of Health on consideration and use of dimenHYDRINATE when ondansetron is not available.

The Regional Paramedic Program for Eastern Ontario is pleased to announce that every paramedic in the RPPEO region is now using the RPPEO’s Online Medical Consultation (OMC) service for all patch consultations with our dedicated group of base hospital physicians (BHP).

The Regional Paramedic Program for Eastern Ontario is pleased to launch Spring 2023 CME's online learning component on Monday, March 27, 2023.

In Spring 2023 CME, RPPEO presents "Discharge from Care," provincially developed training about out of hospital treat and discharge. This is the training that paramedics require to receive authorization to apply the new auxiliary medical directive options in the Advanced Life Support Patient Care Standards (ALS PCS) version 5.1 for patient discharge planning.

The BLS Patient Care Standards are the Ministry of Health and Long-Term Care expectations with respect to how paramedics will interact with their patients.

Go to Medical Directives

In this issue

• BHP Corner Talks Pearls and Pitfalls of Discharge
• Risk in Non-transport: It’s Manageable in Quality & Safety
• No Surprises as we Announce the Focus of Spring 2023 CME for ACPs… and PCPs
• Documenting Safety for Vulnerable Patients in A Window on Care
• RPPEO is Hiring! In Announcements

Ondansetron (Zofran) is the preferred medication over dimenHYDRINATE (Gravol) to treat nausea / vomiting in patients 65 and older. Paramedics can consult (patch) a Base Hospital Physician (BHP) if they believe an antiemetic is indicated for patients 65 and older and ondansetron is not available.

Paramedics should read Medical Advisory DimenHYDRINATE (Gravol) for Patients 65 and Older. If you have any questions, please contact quality@RPPEO.ca.