Medical Directives
ALS PCS 5.4
The Advanced Life Support Patient Care Standards (ALS PCS) outline the specific patient care procedures authorized for Ontario paramedics, aligned with their scope of practice at the Primary Care (PCP) and Advanced Care (ACP) levels.
ALS PCS Version 5.4
The full standards document as released by the Ministry of Health.
Ministry of Health Memo on ALS PCS v5.4
This official memo from the Ministry of Health confirms the implementation of ALS PCS v5.4 and outlines the effective date.
Download MOH Implementation Memo
OBHG Companion Document for ALS PCS v5.4
Prepared by the Ontario Base Hospital Group Education Subcommittee, this educational supplement provides context, rationale, and clinical considerations to support the implementation of ALS PCS v5.4.
Download OBHG Companion Document
OBHG Memo on ALS PCS v5.4 Practice Changes
This memo from the OBHG Education Subcommittee highlights the most relevant updates in ALS PCS v5.4 that impact paramedic clinical practice and patient care.
Palliative Care Medical Directives
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 Ministy of Health's special project, Paramedics Providing Palliative Care.
ALC PCS Handbooks
Due to the frequency of updates to the ALS PLS Medical Directives the pocket books are no longer available and have been replaced by the web app available on this page.
Ontario Paramedic Clinical Guide
