Medical Directives & Standards


Medical Directive Protocol Books

ALS PCS Version 4.8

Stickers with the applicable changes to the ALS version 4.8 are now available for download.  Please click the links below to download the printable PDFs. When printed on a 5” x 3 1/2” shipping label sheet, these stickers can be placed directly in your protocol book.

Version 4.8 PCP Changes – Protocol Book Stickers

Version 4.8 ACP Changes – Protocol Book Stickers

Need a Replacement?

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:

Request for Protocol Books.

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)

Download Now

Amazon Apps

Download Now


Advanced Life Support Patient Care Standards

In Force As Of

November 23, 2020
April 8, 2020
October 23, 2019
September 3, 2019
May 1, 2018
December 11, 2017
Companion Document
October 23, 2019
May 1, 2018
Basic Life Support Patient Care Standards
January 11, 2021
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