Medical Directives & Standards

MD Pocket Books

Medical Directive Pocket Books

The Medical Directive Pocket Books for ALS PCS v4.4 are now available. The new books will be shipped to your service for distribution as soon as the full order is received.

Need a Replacment?

If you require a new book, you may purchased a replacement book at a cost of $6.00 each. To purchase a book, please email:

Mobile Medical Directive Apps

Ontario Paramedic Clinical Guide Medical Directive App
Update Aug 10, 2017: The OPCG App now allows you to download content so that the app can be used for offline viewing. You must update your app through the Apple App Store and Google Play.

Apple App Store (iPhone)

Download Now

Google Play (Android)

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Amazon Apps

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Advanced Life Support Patient Care Standards

  • In Force As Of
October 23, 2019
September 3, 2019
May 1, 2018
December 11, 2017
Basic Life Support Patient Care Standards
September 3, 2019
March 1, 2018

Version 3.0.1

December 11, 2017
Field Trauma Triage and Air Ambulance Utilization Standards

Version 1.0, Issue Number 113

June 2014
Ontario Ambulance Documentation Standards

Version 3.0

April 1, 2017
Provincial Equipment Standards for Ontario Ambulance Services

Version 3.4

May 1, 2018

Version 3.3

December 11, 2017

Patient Care and Transportation Standards

Version 2.2 July 22, 2016

Policies, Guides  & Manuals

CPSO Delegation of Controlled Acts Policy

Policy #5-12

September 1999
Prehospital CTAS Paramedic Guide

Version 2.0

December 31, 2016

CTAS Field Reference Guide, Version 1.0

Ambulance Call Report Completion Manual

Version 3.0

April 1, 2017