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).

Effective April 8, 2020

Other updates:

• Patient Care and Transportation Standards - v2.3
• Provincial Equipment Standards for Ontario Ambulance Services - v3.5
• Advanced Life Support Patient Care Standards - v4.7
• Training Bulletin No. 120 Novel Coronavirus (COVID-19) - v1.5

The Ministry of Health has published a partial revision to the Advanced Life Support Patient Care Standards (ALS PCS) that will come into force on Monday, November 23, 2020.

Advanced Life Support

Patient Care Standards

Version 4.5

Comes into force May 1, 2018

Download v.4.5

For a summary of changes click here

Version 4.9 of the Advanced Life Support Patient Care Standards (ALS PCS) is now in effect.

The revisions to these Standards include changes to paramedic clinical practice. The Ontario Base Hospital Group (OBHG) Education Subcommittee has prepared a support document that discusses these practice changes.

The RPPEO has made the necessary revisions to paramedics' MedicNET profiles to provide the certifications paramedics require for these practice changes. Paramedics may notice these changes in the letter they received when their RPPEO certification renewed on February 1, 2022.

The Ontario Paramedic Clinical Guide mobile application has been updated with the ALS PCS v.4.9.

The ALS PCS version 4.9 and the support materials available in this article are available in the usual Medical Directives section of the site from February 1 forward.

Version 5.1 of the Advanced Life Support Patient Care Standards (ALS PCS) is now in effect. 

The Ministry of Health has amended version 5.0 of the ALS PCS to include 3 new treat and discharge auxiliary medical directives as well as to integrate minor edits. ALS PCS version 5.1 is in force, replacing the previously circulated version 5.0 of the ALS PCS. Support materials related to ALS PCS 5.0 are applicable to 5.1. 

The revisions to these Standards include changes to paramedic clinical practice. The Ontario Base Hospital Group (OBHG) Education Subcommittee has prepared a support document that discusses these practice changes. 

The Ontario Ministry of Health has not yet announced the release of ALS PCS v.5.4.

While the update was originally expected to take effect in February 2025, the release timeline remains uncertain. Until ALS PCS v.5.4 is formally published, paramedics should continue to follow the current ALS PCS v.5.3 directives.

For updates, please monitor the Ministry of Health’s Paramedic Practice Documents.

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.

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.