• Dedicated Professionals
  • Caring, Compassionate
  • Ontario‚Äôs Paramedics
  • Bringing Emergency Medicine to You
  • Utilizing The Latest Technologies
  • Providing Life Saving Care
  • 24 Hours Per Day
  • On The Frontline of Healthcare
  • In The Air, On The Ground
  • Always There For You
  • Ready to Respond

Advanced Care Paramedics

Action 8

The Advanced Care Paramedic (ACP) must have a minimum of 2 years of experience in the paramedic field before being able to qualify for training at the ACP level. The ACP program is an additional 1 year in length and is considered a post-diploma program (1200 hours). The ACP will have had 2 years of training to become a PCP before he/she spends the additional year to progress to the advanced care level. The ACP course is highly intensive and requires weeks of in class didactic training, weeks of in hospital clinical training where the ACP learner works directly with physicians and months of preceptorship practicum where the ACP must demonstrate competence to multiple preceptors. In addition, each ACP must successfully complete many mandatory and elective continuing medical education courses on an annual basis to maintain their qualifications and certifications. ACP's always have more than one stripe on their shoulder epaulettes.

In addition to the PCP skill set, ACP providers are qualified to perform and/or use:

  • advanced airway management equipment
  • orotracheal and nasotracheal intubation equipment
  • lighted stylet intubation equipment
  • LMA's
  • orogastric and nasogastric tubes
  • SPO2 monitoring
  • Side stream ETCO2 monitoring (capnography and capnometry)
  • mechanical ventilation
  • laryngoscopy and removal of foreign body obstruction using MacGill forceps
  • intravenous therapy
  • pharmaceutical therapy
  • 12 lead ECG interpretation
  • needle thoracostomy
  • chest tube monitoring
  • intraosseous and external jugular IV starts
  • manual defibrillation, synchronized cardioversion and external transcutaneous cardiac pacing
  • treatment of cardiac emergencies according to Heart & Stroke Foundation Advanced Cardiac Life Support (ACLS) guidelines
  • administration of the following emergency medications: Adenosine, ASA, Atropine, Dextrose, Diazepam, Dimenhydrinate, Diphenhydramine, Dopamine, Epinephrine, Fentanyl, Furosemide, Glucagon, Lidocaine, Morphine, Naloxone, Nitroglycerine, Salbutamol, Sodium Bicarbonate, Midazolam and other medications (drug list may vary from one service to another)

Advanced Care Flight Paramedic - ACP(F)

The Advanced Care Flight Paramedic - ACP(F) functions with a greatly expanded scope of practice over the Advanced Care Paramedic. The main function is to make available Advanced Life Support treatment modalities to patients in areas of the Province that may not have this level of prehospital care available.

In addition to the skills that ACP's perform, the ACP(F) scope of practice includes:

  • intravenous therapy
  • pharmaceutical therapy
  • advanced airway management including oral and nasotracheal intubation
  • rapid sequence intubation
  • percutaneous Cricothyrotomy
  • laryngoscopy and removal of foreign body obstruction using MacGill forceps
  • og/ng tubes
  • LMA's
  • ETCO2 monitoring
  • mechanical ventilation
  • 12 lead ECG interpretation
  • needle thoracostomy
  • chest tube monitoring
  • intraosseous and external jugular IV starts
  • blood product administration
  • foley catheters
  • IV pumps
  • manual defibrillation, synchronized cardioversion and external transcutaneous cardiac pacing
  • treatment of cardiac emergencies according to Heart & Stroke Foundation Advanced Cardiac Life Support (ACLS) guidelines
  • administration of over 40 emergency medications including some of the following: Adenosine, ASA, Ativan, Atropine, Demerol, Dextrose, Diazepam, Dimenhydrinate, Diphenhydramine, Dopamine, Epinephrine, Fentanyl, Furosemide, Glucagon, Lidocaine, Morphine, Naloxone, Neuromuscular Blockers, Nitroglycerine, Salbutamol, Sodium Bicarbonate, Midazolam and other medications