Resources
ResourcesMedical Directives & Standards
ALS PCS 5.4 now in effect
June 2, 2025
You can download the new versions using the link https://www.ontario.ca/files/2025-04/moh-advanced-life-support-als-patient-care-standards-pcs-5.4-en-2025-04-23.pdf
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ACP Medical Directives
Version 5.4
Updated June 2, 2025
CPER Version
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PCP Medical Directives
Version 5.4
Updated June 2, 2025
CPER Version
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BLS Standards
Version 3.4
Updated March 10, 2023
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Ambulance Service Communicable Disease Standards
Version 2.1
Updated March 2, 2022
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Patient Care Model Standards
Version 1.1
Updated January 27, 2023
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Ontario Ambulance Documentation Standards
Version 3.0
Updated April 1, 2017
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Patient Care and Transportation Standards
Version 2.7
Updated August 18, 2022
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Provincial Equipment Standards for Ontario Ambulance Services
Version 3.7.1
Updated February 9, 2024
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Ontario Provincial Land Ambulance and Emergency Response Vehicle Standard
Version 6.1
Updated November 1, 2023
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Land Ambulance Certification Standard
Version 1.4
Updated August 2, 2022
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Ambulance Call Report Completion Manual
Version 3.0
Updated April 1, 2017
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Prehospital CTAS Paramedic Guide
Version 2.0
Updated December 31, 2016
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CPSO Delegation of Controlled Acts Policy
Version #5-12
Updated March, 2021
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Field Trauma Triage and Air Ambulance Utilization Standards
Version 1.0
Updated June 1, 2015
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Child in Need of Protection Standard
Version 1.0
Updated June 1, 2015
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ALS PCS 5.4
Version 5.4
Patient Care Model Standards
Click Here
ALS v 5.4 Companion Document
Click Here
Naloxone Review
Just as the sun begins to set you are called on a Code 4/Delta/Red response for a 30 year old patient that is "not moving" on a park bench. Upon arrival the caller points out your patient who is laying on the bench nconscious. They moan to painful stimulus and immediately return to their altered state. There is a small pipe on the ground next to the patient. The caller states they are not sure how long the patient has been here and they called as soon as they found them. The patient is dressed appropriately for the weather.
Noisy Breathing
At 0100hrs you are called to a private residence on an urgent response for a pediatric patient (age 5) reported to be short of breath. On arrival you find the child in their mother's arms. They are anxious but alert. You hear a loud, harsh sound on inspiration and a cough that sounds distinctly like a seal barking. They have had a runny nose for two days, and stayed home from school today due to a fever and lethargy. They woke up suddenly tonight gasping for air and the parents called 9-1-1 immediately because of the odd cough.
Year in Review
Every year in December the Digest highlights and links the entire years issues into one convenient space. The year end is a great time to review any material and catch up on issues you may have missed. Stay tuned for all new cases, scenarios, and great information returning in 2026! Do you have an idea for a digest? Send it our way!
The Frailty Factor
This month we present two examples that highlight unique considerations in the geriatric population who have experienced trauma.
Quality of Care
Every fall season the CPER Digest and CPER Staff take a brief pause on our clinical content to congratulate the recent winners of the annual CPER Quality of Care Award.