The Canadian Resuscitation Outcomes Consortium (CanROC) Paramedic Primer

By Nick Sajko & Judah Goldstein The out-of-hospital component of medical care begins with a 911 call and often ends on arrival to the Emergency Department. In this setting, a wide breadth of medical issues can be encountered, the most serious of which require out-of-hospital resuscitation (OHR). Although a broad category, OHR mainly involves two major conditions, both of which are associated with high mortality and morbidity rates. These conditions include: 1) out-of-hospital cardiac arrest (OHCA), and 2) major trauma. … Read More

Role of TXA in Management of Traumatic Hemorrhage in the Field

  Art Proust, MD, FACEP and Kyee Han, MBBS, FRCS, FRCEM   The guidelines and references contained in this document are current as of the date of publication and in no way replace physician medical oversight. Introduction Hemorrhagic shock remains a serious problem for the multiple trauma patient. It is the leading cause of preventable trauma deaths after loss of airway. Rapid and effective control of exsanguinating hemorrhage has been demonstrated to markedly improve survival and outcome, especially in the … Read More

A look at BCEHS’ Paramedic Response to Overdose Calls Across BC

BC Emergency Health Services (BCEHS) is the sole provider of out-of-hospital emergency care and inter-facility transfer in British Columbia, and is the largest emergency medical service in Canada. BC Emergency Health Services (BCEHS) paramedics continue to be called to an incredibly high number of overdoses across the province. In 2019 that amounted to 24,166 overdose calls, or an average of 66 calls each day for a potential overdose. BCEHS has been monitoring the overdose crisis since it began in 2016 … Read More

A Community Paramedic Approach to Addiction in the Community

A major issue presenting across Canada is the number of opioid related deaths. Since 2003, the number of deaths has increased 136 per cent with more than 850 deaths in Ontario from opioid-related causes in 2016 (Public Health Ontario, 2018). The key concerns with this issue are the alarming rising numbers of users and related overdose deaths and that users are not getting the necessary help or support to overcome the addiction. Niagara EMS has recognized the need to take … Read More

Launching and Evaluating the County of Simcoe’s High Performing Community Paramedicine Program

The emergence of Community Paramedicine (CP) in Ontario has challenged Paramedic Services to change the way they think about supporting individuals in the community. Community Paramedicine shifts the focus of service delivery from being traditionally reactive, to preventative and supportive. Although approaches to supporting patients through Community Paramedicine vary from service to service, all programs benefit from partnerships with local community and healthcare service providers. Partnerships are the foundation of a successful CP program, and a key element of program … Read More

The Community Paramedicine Glossary: Frequently Used Terms and Definitions

Included here are a number of frequently used terms and their definitions used by the Ontario Community Paramedicine Secretariat (OCPS). By submitting them to Canadian Paramedicine for inclusion in this issue, we hope that they can help promote discussion amongst the broader paramedic community across Canada with respect to community paramedicine. Community paramedicine program: a program that uses paramedics to provide immediate or scheduled primary, urgent, and/or specialized healthcare to vulnerable patient populations by focusing on improving equity in healthcare … Read More

Community Paramedicine: Part of a Modern Emergency Health Services System

By the Ontario Community Paramedicine Secretariat (OCPS) Established in 2018, the Ontario Community Paramedicine Secretariat (OCPS) mandate supports the community paramedicine network in Ontario, enabling and facilitating work on the creation and dissemination of standardized care processes, performance reporting and measurement activities, and aspects of knowledge translation and exchange. The OCPS Steering Committee has representation from multiple key stakeholders including Ontario Health, the Ontario Association of Paramedic Chiefs, and frontline community paramedics. The OCPS was established at a time of … Read More

FM2020 – Editorial

Obituary of Chris Skelton Chris “Bones” Skelton, 1953-2020. With his family by his side at St. Joseph’s Hospice in London, ON,  Chris “Bones” Skeleton passed away at the age of 66 on January 12, 2020. Beloved husband of Lou Ann. Father to Peter, Chris Jr and Lauren. Grandfather to James and Robert and brother to Tom. Chris will be fondly remembered by his second family Middlesex London Paramedic Service where he proudly served for 46 years. Chris was an amazing … Read More

JJ2021 – Association News

Paramedic Services Week (May 23-29) Throughout the COVID-19 pandemic, Ontario Paramedics have demonstrated the ability to adapt to the needs of our communities by providing front line services in many contexts of the health care system. Ontario Paramedics have taken on additional responsibilities through COVID Assessment Centres, Vaccination Strike Teams, Community Paramedic Teams and Long-Term Care settings. In addition to 9-1-1 calls, paramedics have also provided critical care to patients who needed to be safely distributed between hospitals in order … Read More

Fanshawe Paramedic Student Research

Introduction As our paramedic profession grows throughout the world, so does our need to teach students the importance on research and the role we all play in growing and improving our knowledge. It is important to stimulate students and to teach them that research is not something to be feared, but rather embraced. It is universities, colleges, and programs, like Fanshawe, that have taken this to heart and are paving the way for our future paramedics to be more actively … Read More

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