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Paramedic Descriptions
At Peterborough County-City EMS there are two levels
of Paramedics who provide emergency medical care to the community:
Both levels of Paramedics are able to provide basic
life support, as well as controlled medical acts. Controlled medical acts,
are advanced medical procedures which are delegated to the Paramedic by the
Emergency Room Base Hospital Physician. The Base Hospital maintains direct
medical oversight of these controlled acts.
Primary Care Paramedic (PCP)
The Primary Care Paramedic is a graduate from a
community college Paramedic Studies diploma program. The two year college
program emphasizes anatomy, physiology, pathophysiology of disease and
traumatic injury, pharmacology, and patient care. Once the college program
has been completed, a candidate must pass the Ministry of Health and
Long-Term-Care, Emergency Health Services Branch. exams . Once employed, the
paramedic must obtain Base Hospital certification in controlled medical
acts. During each year of employment the PCP must complete 8 to 24 hours of
continuing medical education.
The emergency patient care provided by the PCP
includes basic life-support skills, such as cardiopulmonary resuscitation
(CPR), patient immobilization, oxygen therapy, basic trauma life support, &
the controlled medical acts below:
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Semiautomatic External Defibrillation |
Epinephrine (SC, IM, Nebulized) |
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Glucometry-capillary blood sampling |
Glucagon (SC, IM) |
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Pulse Oximetry |
Nitroglycerin Spray (Sublingual) |
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12 lead ECG acquisition |
Ventolin (Nebulized/Atomized) |
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ASA (PO) |
End Tidal C02 |
| Oral Glucose Administration |
Laryngeal Airway Insertion |
Advanced Care Paramedic (ACP)
The Advanced Care Paramedic, must first have the
above PCP training and certification. The ACP candidate must then attend and
successfully graduate from an accredited Advanced Care Paramedic studies
diploma program. Once this is completed, the ACP must participate in Base
Hospital certification and orientation training. During each year of
employment, the ACP must complete 24 to 48 hours of continuing medical
education.
Advanced Care Paramedics are certified to perform the
following controlled acts:
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Oral / Nasal intubation and extubation |
Established & Maintain peripheral IV lines. |
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Oral intubation via Eschmann tracheal tube introducer |
Use of central venous access devices |
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End tidal C02 monitoring |
Use of Magill Forceps |
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Establish & Maintain Intraosseous Lines (pediatric patients) |
Pulse Oximetry |
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Needle Thoracostomy |
Manual & Semiautomatic External Defibrillation |
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Laryngeal Airway Insertion |
Valsalva maneuver |
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Carotid Sinus Massage |
ECG Dysrhythmia Interpretation |
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Medication administration: IV, IO, ETT, IM, SC, PO, SL, PR, IN, Drip
Infusion, Topical Spray, Nebulized/Atomized |
12 Lead ECG Acquisition |
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Glucometry (capillary & venous blood sampling) |
Transcutaneous Pacing |
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Synchronized Cardioversion |
Establish Intraosseous Assess |
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Taser Probe Removal |
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ACP Medications
Various routes of administration (IV, IO, ETT, SC, IM, IN, PO, PR, SL, Drip Infusion, Nebulized/Atomized)
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Adenosine |
Furosemide |
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ASA |
Glucagon |
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Atropine |
Lidocaine |
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Dextrose-50%, 25%, 10% |
Midazolam |
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Diazepam |
Morphine |
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Dimenhydrinate |
Naloxone |
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Diphenhydramine |
Nitroglycerin Spray |
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Dopamine |
Sodium Bicarbonate |
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Epinephrine |
Ventolin |
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Fentanyl |
Xylometazoline |
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Intraosseous |
Oral Glucose |
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