This document contains both information and navigation buttons. To read information, use the Down Arrow from a form field. Basic Life Support Patient Care Standards Version 3.0.1 Comes into force December 11, 2017 Emergency Health Services Branch Ministry of Health and Long-Term Care To all users of this publication: The information contained in the Standards has been carefully compiled and is believed to be accurate at date of publication. For further information on the Basic Life Support Patient Care Standards, please contact: Emergency Health Services Branch Ministry of Health and Long-Term Care 5700 Yonge Street, 6th Floor Toronto, ON M2M 4K5 416-327-7900 © Queen’s Printer for Ontario, 2016 Document Control Version Date of Issue Comes into Force Brief Description of Change Number Date 3.0 July 2016 N/A (amended prior Full update. See accompanying training to in force date) bulletin for further details 3.0.1 November 2016 December 11, 2017 Update to Paramedic Prompt Card for Acute Stroke Protocol: Contraindication changed from “CTAS Level 2” to “CTAS Level 1”. Table of Contents Preamble ............................................................................................................................. 7 Preface............................................................................................................................................. 1 Definitions....................................................................................................................................... 1 Introduction ..................................................................................................................................... 1 Research .......................................................................................................................................... 2 Quality Assurance ........................................................................................................................... 2 Commonly Used Abbreviations ...................................................................................................... 3 Section 1 – General Standard of Care ............................................................................... 6 Paramedic Conduct Standard .......................................................................................................... 7 General Measures Standard ............................................................................................................ 9 Patient Assessment Standard ........................................................................................................ 10 Patient Management Standard ...................................................................................................... 12 Patient Transport Standard ............................................................................................................ 13 Patient Refusal/Emergency Treatment Standard .......................................................................... 15 Reporting of Patient Care to Receiving Facility Standard ............................................................ 17 Patch to Base Hospital Physician Standard .................................................................................. 18 Regulated Health Professionals Standard ..................................................................................... 19 Transfer of Care (TOC) Standard ................................................................................................. 20 Documentation of Patient Care Standard ...................................................................................... 21 Patient Care Equipment Use Standard .......................................................................................... 22 Oxygen Therapy Standard ............................................................................................................ 23 Field Trauma Triage Standard ...................................................................................................... 24 Air Ambulance Utilization Standard ............................................................................................ 26 Spinal Motion Restriction (SMR) Standard .................................................................................. 30 Do Not Resuscitate (DNR) Standard ............................................................................................ 33 Deceased Patient Standard ............................................................................................................ 36 General Pediatric Standard ........................................................................................................... 39 Child in Need of Protection Standard ........................................................................................... 40 General Geriatric Standard ........................................................................................................... 43 Mental Health Standard ................................................................................................................ 45 Violent/Aggressive Patient Standard ............................................................................................ 48 Intravenous Line Maintenance Standard ...................................................................................... 49 Load and Go Patient Standard ...................................................................................................... 51 Police Notification Standard ......................................................................................................... 52 Sexual Assault (Reported) Standard ............................................................................................. 54 Section 2 – Medical Standards ........................................................................................ 56 Introduction ................................................................................................................................... 57 Abdominal Pain (Non-Traumatic) Standard ................................................................................. 58 Airway Obstruction Standard ....................................................................................................... 59 Allergic Reaction (Known or Suspected) Standard ...................................................................... 60 Altered Level of Consciousness Standard .................................................................................... 62 Back Pain (Non-Traumatic) Standard ........................................................................................... 63 Cardiac Arrest Standard ................................................................................................................ 64 Cerebrovascular Accident (CVA, “Stroke”) Standard .................................................................. 66 Chest Pain (Non-Traumatic) Standard .......................................................................................... 68 Dysphagia Standard ...................................................................................................................... 71 Epistaxis (Non-Traumatic) Standard ............................................................................................ 72 Excited Delirium Standard ............................................................................................................ 73 Extremity Pain (Non-Traumatic) Standard ................................................................................... 74 Fever Standard .............................................................................................................................. 75 Headache (Non-Traumatic) Standard ........................................................................................... 76 Heat-Related Illness Standard ....................................................................................................... 77 Hematemesis/Hematochezia Standard .......................................................................................... 79 Nausea/Vomiting Standard ........................................................................................................... 80 Respiratory Failure Standard ........................................................................................................ 81 Seizure Standard ........................................................................................................................... 82 Shortness of Breath Standard ........................................................................................................ 83 Syncope/Dizziness/Vertigo Standard............................................................................................ 84 Toxicological Emergency Standard .............................................................................................. 85 Vaginal Bleeding Standard ........................................................................................................... 87 Visual Disturbance Standard......................................................................................................... 89 Section 3 – Trauma Standards ........................................................................................ 90 Introduction ................................................................................................................................... 91 General Trauma Standard 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