The RPPEO has rescinded Medical Advisory 2012-006 "Drug Shortage: Atropine preload."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