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Durham Regional Paramedic Services

offers emergency health care to Durham residents.

Haliburton County Paramedic Service (HCPS)

is committed to promoting the safety and well-being of its citizens.

Kawartha Lakes Paramedic Service

Our team of Primary and Advanced Care Paramedics respond 24/7 to 9-1-1 medical requests for help.

Northumberland Paramedics

Port Hope, Cobourg, Roseneath, Colborne, Brighton and Campbellford

Peterborough County-City Paramedics (PCCP)

provides emergency medical care to citizens and visitors of both Peterborough County and City.

York Region’s paramedics

are dedicated to providing the highest quality of care to patients in York Region.

ALS PCS 5.4

The latest ALS PCS is now available to download. Effective date is June 2, 2025.

Medical Directives

Base Hospital CEPCP

The Central East Prehospital Care Program provides delegation, medical control and advice, quality assurance and continuing medical education to the paramedics and other prehospital care providers of this region.

MedicASK

Welcome to MedicASK. This section of the CEPCP website 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 CEPCP. 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.

MedicASK Recent Answers

Can Bimanual Compression be Delegated?
In the event of a postpartum hemorrhage is external bimanual compression something that can be delegated to allied resources on scene (ex. FD) if the paramedic has other tasks to attend to? Or since it is listed a delegated medical act is it something only a certified paramedic can do?
ASA for ACS When the Patient has History of ACS?
A patient with a history of AAA repair two years ago presents with severe lower abdominal pain and concurrent chest pain with cardiac features. Vital signs show hypertension with equal bilateral pressures. In this situation, is ASA still appropriate for suspected ACS, or should it be withheld due to concern for a possible AAA related complication?
Can midazolam be administered to treat a dysphoric reaction to an analgesic dose of ketamine?
Can midazolam be administered to treat a dysphoric reaction to an analgesic dose of ketamine?
Epinephrine for Asthmatic Arrest?
After a patient goes VSA from a suspected asthma attack, why is IM epi no longer indicated?
PDE-4 Inhibitors
Under the nitroglycerin contraindications it notes phosphdiesterase inhibitors. In the companion document it references PDE5s, but I do not recall reading that other forms are disclosed from the definition. What about PDE-4 inhibitors?