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COVID-19 Important Updates

Date: 2020-03-26

Johns Hopkins University Live Dashboard

You can obtain a global Coronavirus Dashboard from Johns Hopkins University (JSU) Center for Systems Science and Engineering (CSSE).  

Simply click and drag the image below and select the red dots to monitor an updated map of presumptive positive cases, confirmed positive cases, deaths and recoveries around the globe.



COVID-19 Screening Tool for Paramedics

Version 1.4 (March 13, 2020)

The Ontario Ministry of Health has released the attached Screening Tool for Paramedics. 

COVID-19 Screening Tool
  1. Has the patient received public health or medical advice to self-monitor or self-isolate?
  2. Is the patient presenting with fever and/or new onset of cough or difficulty breathing?
  3. Has the person returned from travel outside of Canada in the 14 days before the onset of illness?

OR 

Did the person have close contact with a confirmed or probable case of COVID-19 (novel coronavirus)?

OR

Did the person have close contact with a person with acute respiratory illness who returned from travel outside of Canada within 14 days prior to their illness onset?

  • If YES to Question 1 - patient screened POSITIVE
  • If YES to Question 2 and YES to any part of Question 3 - patient screened POSITIVE
  • If YES to Question 2 and NO to all of Question 3 - patient screened NEGATIVE (stop screening and document response)
  • If NO to Question 1 and 2, and YES to any part of Question 3 - patient screened NEGATIVE (stop screening and document response

If patient screens POSITIVE, document and continue use of routine and additional precautions outlined in the latest Training Bulletin No. 120 - Novel Coronavirus (COVID-19).



Centers for Disease Control  

You can obtain information on confirmed cases and deaths across the globe from Centers for Disease Control and Prevention.   

The CDC also has a global map that you can access.



Infection Prevention and Control Canada

You can obtain information on confirmed cases and deaths across the globe from Infection Prevention and Control Canada.



Ontario Ministry of Health

You can also obtain paramedic information from the Ontario Ministry of Health.



Public Health Ontario

You can also obtain public information from Public Health Ontario.



Historical Change to Tiered Response  

In 2003, in order to better control exposures, the City of Ottawa safely change tiered response algorithms at Ottawa CACC (Central Ambulance Communications Centre).  

This change was grounded in evidence and effectively reduced unnecessary exposures by preventing police officers and firefighters from responding to any medical call except unconscious and VSA. 

Paramedics who had the academics and infection control knowledge to safely deal with the crisis were more appropriately utilized as emergency responders in PRU's (also known as RRU's and FRU's). 

This important change to medical tiered response protocols in Ottawa helped to better protect firefighters and has remained in effect since 2003. 

Most important to note, there have been no adverse patient outcomes on any other Code 3 or Code 4 (more than 1.8 million calls over the last 17 years).