Emergency Health Services
Past proposed changes
| Document Name/Version | Posting Date | Comments Due Date | Summary of Proposal |
|---|---|---|---|
| Basic Life Support Patient Care Standards (BLS PCS) v3.4.a | January 24, 2023 | February 7, 2023 | Since the publication/in force date of the BLS PCS v3.3, the ministry has received numerous recommendations from various sector stakeholders. These minor changes are being made to align the BLS PCS to other standards published by the ministry. |
| Patient Care Model Standards v1.1 | December 21, 2022 | January 13, 2023 | The patient care models (PCM) for select 9-1-1 patients aim to provide appropriate health care options in community-based care settings instead of visiting the emergency department. This initiative was initially launched in 2020 with patient eligibility and model types defined in the Patient Care Model Standards version 1.0a. In August 2022, the Government approved the expansion of patient care models with broader patient eligibility and one additional model - Treat & Discharge. The Patient Care Model Standards version 1.1 has incorporated revisions based on input from clinical experts and sector partners on the expansion to ensure patient safety. |
| Medical directives for Treat & Discharge, as part of the Advanced Life Support Patient Care Standards (ALS PCS) v5.1 | December 21, 2022 | January 13, 2023 | To support the expansion of PCM initiative noted above, the Ontario Base Hospital Group Medical Advisory Committee (OBHG MAC) has developed five (5) medical directives for Treat & Discharge to be included in the ALS PCS v5.1. |
| Provincial Equipment Standards for Ontario Ambulance Services v3.7.a | November 2, 2022 | November 30, 2022 | Since the publication/in force date of the Provincial Equipment Standards for Ontario Ambulance Services, version 3.6, under the living standards process, the Medical Advisory Committee (MAC) has requested both additions and amendments to ALS PCS affecting this equipment standard. Minor updates were also made to the Standard. |
| Advanced Life Support Patient Care Standards (ALS PCS) v5.0 | August 11, 2022 | October 3, 2022 | Since the publication/in force date of the ALS PCS, version 4.9, under the living standards process, the Medical Advisory Committee (MAC) has requested both additions and amendments to ALS PCS.
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| Advance Life Support Patient Care Standards v4.9.a (Draft) |
October 21, 2021 | November 21, 2021 | Since the publication of the Advanced Life Support Patient Care Standards, version 4.8, under the living standards process, the ministry has received input from the Ontario Base Hospital Group to update medical directives to align with clinical evidence for best practice and high quality patient care. An additional proposed change to address delays in initiating treatment is also included for the “Preamble” section. |
| Equipment Standards v3.6.a (Draft) |
September 21, 2021 | October 21, 2021 | Since the publication/in force date of the Provincial Equipment Standards for Ontario Ambulance Services, version 3.5, under the living standards process, the ministry received change request forms requesting a shift toward reusable personal protective equipment and better alignment of paediatric equipment to follow the 2020 American Heart Association’s (AHA) Pediatric Advanced Life Support (PALS) Guidelines. Additionally, other housekeeping updates have also been made to this draft. |
| BLS PCS v3.2.a (Draft) | September 17, 2020 | October 17, 2020 | Since the publication/in force date of the BLS PCS v3.2, the ministry has received numerous recommendations from sector stakeholders and the Ontario Base Hospital Group Medical Advisory Committee. |
| ALS PCS v4.7.a (Draft) | September 17, 2020 | October 17, 2020 | Since the publication/in force date of the ALS PCS v4.7, the ministry has received numerous recommendations from sector stakeholders and the Ontario Base Hospital Group Medical Advisory Committee. In addition to the proposed change to the ALS PCS v4.6.1 posted December 16, 2019 – updates to the “Assessment of Patients with Possible COVID–19 Medical Directive – AUXILIARY” are also being considered for publication. |
| Patient Care Model Standards v1.0a | January 7, 2020 | January 21, 2020 | The Patient Care Model Standards set out requirements for municipal ambulance services seeking approval from the ministry to implement new models of care that would permit select low-acuity 9-1-1 patients to receive appropriate community-based care, rather than transport to the Emergency Department. This includes requirements of paramedics for providing patient care that extends beyond the “Basic Life Support Standards” and the “Advanced Life Support Standards” for the purposes of implementing new models of care. |
| ALS PCS v4.6.1.a (Draft) | December 16, 2019 | January 24, 2020 | Since the publication/in force date of the ALS PCS v4.6, the ministry has received numerous recommendations from the Ontario Base Hospital Group Medical Advisory Committee and Change Requests from various stakeholders. For a detailed description of proposed changes, please email ParamedicStandards@ontario.ca. |
| Provincial Equipment Standards for Ontario Ambulance Services v3.4.a (Draft) | December 16, 2019 | January 24, 2020 | Since the publication/in force date of the Provincial Equipment Standards for Ontario Ambulance Services, version 3.4, the ministry has reviewed equipment included in this document that more appropriately falls under the responsibility of the ambulance service operator (i.e. the employer) to provide and ensure compliance as per the Occupational Health and Safety Act, R.S.O. 1990, c. O.1. It is proposed that these standards be removed from this document. A new supraglottic airway standard has been added. Additionally, other housekeeping updates have also been made to this draft. |
| BLS PCS v3.1.a (Draft) | January 28, 2019 | March 14, 2019 | Since the publication/in force date of the BLS PCS v3.1, the ministry has received numerous recommendations from the Ontario Base Hospital Group Medical Advisory Committee and Change Requests from various stakeholders. |
| ALS PCS v4.6 (Draft) | August 14, 2019 | August 30, 2019 | Since the publication/in force date of the ALS PCS v4.5, a number of medical directives that were introduced as auxiliary are now being used by all services across the province. Therefore, these directives are being moved from the auxiliary appendices into the core appendices. The Research Trial Standard which has been added to BLS PCS v3.2 (previously posted for consultative feedback) has been added to this version of the ALS PCS. |
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