Improving the quality and safety of paramedicine in Eastern Ontario
Recent News and Updates

22 Mai 2024
National Paramedic Services Week - Special Thank you
It is Paramedic Services Week and the RPPEO would like to acknowledge and honor the hard work and dedication of the paramedics of Eastern Ontario. Over the past year more has been asked of paramedics than ever before, and you have answered the call. Every day you respond to calls for help from the ill and injured. Each call for service is made by…

10 Mars 2023
BLS 3.4 is now in effect
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

8 Février 2022
Palliative Care Directives
Palliative Care Treat & Refer Directives are now available.
The Palliative Care Medical Directives provide the standards of paramedic care for patients receiving palliative care who are attended by emergency paramedics participating in the Ministry of Health's special project, Paramedics Providing Palliative Care.
Read more

20 Août 2021
Visitors at the Ottawa Hospital ER
Patients can now have one support person accompanying them at an Ottawa Hospital (TOH) emergency room (ER).
On August 16, 2021, TOH updated its visitor restrictions. The Ottawa Hospital is currently in low visitor restrictions as part of the hospital’s ongoing response to COVID-19.
Paramedics are encouraged to inform family and loved ones…

2 Mars 2021
MedicNEWS - March 2021
Issue 1.8
Insight for Paramedics
What you need to know:
A new directive and more changes coming to the ALS PCS this month
Time to find out how we make our regional Acute Stroke Bypass program better
This CTAS infographic will make relying on your memory a thing of the past
Is a revision to the Ontario paramedic clinical app in the works…

26 Février 2021
MyGriefToolbox (8 Elective CME Credits)
MyGriefToolbox.ca helps paramedics respond to palliative care calls and expands their capacity to provide quality care.
The first seven modules provide paramedics with:
Tactics to support patients and families in acute grief before and after a death.
Strategies to intervene sensitively.
Guidance to constructively manage work-related grief a…

19 Novembre 2020
OBHG's CTAS Cheat-Sheet
Remember when you could bring a page of notes into your math exam? Having all the formulas written out in your teeny-tiny scribble really helped not to forget that r was squared and c was a constant equal to the speed of light.
Now you've got a similar tool integrated into the Ontario Paramedic Clinical Guide.
The new tool isn't for math, t…

18 Novembre 2020
MedicNEWS for November, 2020
Issue 1.8
Insight for Paramedics
What you need to know:
A new directive and more changes coming to the ALS PCS this month
Time to find out how we make our regional Acute Stroke Bypass program better
This CTAS infographic will make relying on your memory a thing of the past
Is a revision to the Ontario paramedic clinical app in the works…
Upcoming Education Events
RPPEO Forms
Latest MedicASK Questions
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…
Lower dose of Ketamine for certain patients
Question: In regards to the removal of patch in the combative pt MD, do the same guidelines (treating pt with lesser dosing when unable to rule out other reversible causes) apply to Ketamine as it does to Mida…
Medication Checks and Verifications
Question: Hello, I would like to have a clarification regarding a BHP expectation. It is my understanding that during an intervention and the administration of medications, the BHP expectation is the use of be…
Prehospital PRAM Score Use
Question: I'm interested in having some contact/education regarding the use of PRAM scoring in pediatric respiratory cases and how it can be applied to the prehospital setting.
CPAP Use With Pneumonia
Question: I've done a few calls with pt complaining of SOB with some crackles on one side of their lungs. With other signs and symptoms, we concluded it is probably a pneumonia, and I was wondering if they met…

RPPEO Medical Team
RPPEO MedicASK provides paramedics the opportunity to ask questions to our Medical Directors regarding ALS PCS medical directives or other related patient care opportunities.
All questions will be reviewed and answered by staff within the RPPEO. Please browse through our questions and answers, as well as the latest ALS or BLS Patient Care Standards or Companion Document for the Advanced Life Support Patient Care Standards.
Upcoming Education Events


