Medical Directives
ALS PCS v5.4
The purpose of the Advanced Life Support Patient Care Standards (ALS PCS) is to guide the specifics of patient care that are to be undertaken consistent with the scope of practice of the three occupational levels of paramedics.
Advanced Care Paramedic
This pocket reference guide has been formatted to align with the ALS PCS version 5.4+ with an in force date of June 2, 2025. As always, this guide is intended to support the ALS PCS and is for reference only. Refer to the current Medical Directives for all treatment decisions. If there are inconsistencies between this reference guide and the current directives always refer to the Medical Directives.
Primary Care Paramedic
This pocket reference guide has been formatted to align with the ALS PCS version 5.4+ with an in force date of June 2, 2025. As always, this guide is intended to support the ALS PCS and is for reference only. Refer to the current Medical Directives for all treatment decisions. If there are inconsistencies between this reference guide and the current directives, always refer to the Medical Directives.
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.
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.
Download OBHG Practice Changes Memo
Ketamine Dosing Charts
Ketamine Dosing Chart 50mg/ml.pdf