Medical Directives & Standards

The Medical Directive Pocket Books for ALS PCS v.4.4 (ACP) v4.6 (PCP) are available.

If you require a new book, you may purchase a replacement book at a cost of $6.00 each. To purchase a book, please fill out the following form:

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)	Download Now
Amazon Apps	Download Now

Advanced Life Support Patient Care Standards	In Force As Of
Version 4.7	April 8, 2020
Version 4.6.1 MOHLTC Implementation Memo, Version 4.6.1	October 23, 2019
Version 4.6 Summary of Changes, Version 4.6 SWORBHP ALS PCS 4.6 Memo for Paramedics MOHLTC Implementation Memo, Version 4.6	September 3, 2019
Version 4.5 Summary of Changes, Version 4.5 SWORBHP ALS PCS 4.5 Memo for Paramedics MOHLTC Implementation Memo	May 1, 2018
Version 4.4 Summary of Changes, Version 4.2	December 11, 2017
Companion Document
Version 4.6.1	October 23, 2019
Version 4.5	May 1, 2018
Basic Life Support Patient Care Standards
BLS Version 3.2 Summary of Changes, BLS Version 3.2 Implementation Memo BLS, Version 3.2	September 3, 2019
Version 3.1 Summary of Changes, Version 3.1 Designated Stroke Centres, Version 1.0	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

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	N/A
Ambulance Call Report Completion Manual
Version 3.0	April 1, 2017