MedicNEWS Issue 2.3 is here! In this issue, find out what you should be watching for with MIS-C or Multisystem Inflammatory Syndrome in Children - sometimes called Pediatric Inflammatory Multisystem Syndrome (PIMS). It's suspected to be a heightened inflammatory response caused when the child's body releases cytokines that lead to organ and tissue damage and may be related to pediatric COVID-19. Also, in this issue, you'll find an argument debunking the idea of so-called brittle diabetes, announcements about your CME and news for paramedics in this region. Read July MedicNEWS here.
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The new issue of MedicNEWS for June/July 2022 is out now: Read it here!
In this issue:
BHP Corner: Should we be ventilating everyone with a baby BVM? Pulmonary barotrauma from assisted ventilation may be associated with increased morbidity and mortality, so it's important to minimize the likelihood of it occurring. Dr. Nick Costain summarizes the evidence and answers the question of whether it’s time to use the pediatric BVM for everyone. See Dr. Costain’s conclusions.
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 teams and what it really tells us about interdisciplinary care in the field.
Continuing Education – Everything you need to know about Spring 2025 CME, where the focus is on mastering rare but essential skills through hands-on learning and cognitive rehearsal techniques. Plus, we’re excited to announce the return of Trauma Days, now with Level 1 and Level 2 sessions tailored to different experience levels.
Medical Direction: BHP Corner – A deep dive into the complex process of pronouncing death and what paramedics must consider when making this critical determination in the field.
Get Involved – The Ontario Base Hospital Group (OBHG) is seeking Paramedic Advisors to join key committees shaping education, medical direction, and data quality standards. Find out how you can contribute to provincial decision-making.
As always, we want to hear from you! If you come across news items relevant to paramedic clinical care, send them to info@RPPEO.ca with "MedicNEWS" in the subject line.
Just the Facts: Answers to your questions about COVID-19
MAC's Considerations Memo: Changes to oxygen therapy
In Focus: High Flow and High Concentration oxygen explained
MOH Screening Tool: New symptom added
Patient Safety: Incidents in a Just Culture
Spring CME: It'll be online!
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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
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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 standards around interventions such as analgesia, nausea/vomiting, cardiac arrest, and traumatic hemorrhage. We walk you through what’s new, what it means for your scope of practice, and what to expect next.
🦠 Measles Management: Clinical Bulletin Released
With a measles outbreak in Ontario, our updated bulletin helps paramedics focus on the clinical signs, documentation, and hospital notification procedures that matter most. Learn how to assess risk, identify mimics, and document effectively.
📚 Case Studies from the Front Lines
Medical Director Dr. Mike Austin shares two insightful case studies with real-world implications for paramedic assessment and documentation. His reflections in this month’s BHP Corner explore how even routine-seeming calls carry critical clinical weight.
🎓 CME Update: Final Trauma Day of 2025 Coming Soon
Don’t miss your last chance this year to join the hands-on Level 2 Trauma Day. Build your trauma care confidence with dynamic, scenario-driven learning.
As always, we want to hear from you! If you come across news items relevant to paramedic clinical care, send them to info@RPPEO.ca with "MedicNEWS" in the subject line.
Enjoy the issue!
Erratum - In an earlier version of the May 2025 issue of MedicNEWS, we incorrectly stated that there were changes to the Hypoglycemia Medical Directive anticipated in the June 2, 2025 ALS PCS v5.4. This was an error.
There are no changes to the Hypoglycemia Medical Directive.
The digital and PDF versions have been updated to reflect this correction. We regret the oversight and appreciate your understanding. – Editor