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:

An official announcement has been made, the RPPEO has won the Power of a System award in Patient Safety Education from the Canadian Patient Safety Institute

​The Innovations in Patient Safety Education (IPSE) Awards recognize organizations, groups and individuals that demonstrate exemplary practices in patient safety and quality improvement using the Patient Safety Education Program – Canada (PSEP – Canada). Patient safety trainers from healthcare organizations across the country are eligible for awards in three categories: the Power of One, the Power of an Organization and the Power of a System.

RPPEO paramedics are invited to attend a live online discussion about the landmark "DOSE VF" study on October 6, 2023 at 10am. Register now for this event!

The RPPEO has rescinded Medical Advisory 2012-006 "Drug Shortage: Atropine preload."

With the coming into effect of the Advanced Life Support Patient Care Standards version 4.9 on February 1, 2022, the Symptomatic Bradycardia Medical Directive now indicates an IV atropine dose of 1mg. This dose may be repeated twice.

Paramedics should provide treatment consistent with this directive.

The Regional Paramedic Program for Eastern Ontario today rescinded Medical Advisory 2023-02 entitled, "DimenHYDRINATE (Gravol) for Patients 65 and Older."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

Measles is a highly infectious disease transmitted in the air. 

The bulletin focuses on core best practices in suspected measles, including:

Fall 2023 CME for Advanced Care Paramedics launches online October 11, 2023.

The Regional Paramedic Program for Eastern Ontario (RPPEO) has revised several of our policies.

Paramedics and others for whom RPPEO policies provide guidance should note that there are two important updates to policies CLI 180 and CLI 230. Most of the other policies reviewed received minor revisions that do not substantively impact the guidance.

The revised policies and all RPPEO Policies are available in the online Policy Manual. Read on for more detail on the policy updates.

RPPEO is pleased to present an important online seminar addressing Undifferentiated Loss of Consciousness on Wednesday, February 18, 2026, from 2-3pm ET. The webinar is presented as part of RPPEO Spring 2026 CME programming. All are welcome to attend!

Pre-eminent clinical educator and STARS Air Ambulance critical care physician Dr. Katie Lin presents a lecture packed with pearls for those encountering loss of consciousness in prehospital care. Register now! 

You'll find the complete online Spring 2022 CME ready for you now in MedicLEARN!

This entirely online CME launched on May 11, 2022. While this CME activity is directed at Advanced Care Paramedics certified at the RPPEO, Primary Care Paramedics are welcome to view or complete these modules as well!

Paramedics have until the end of the current certification period - January 31, 2023 - to complete Spring 2022 CME and any other requirements for maintenance of certification.