As you view the web page you are encouraged to review the Medical Vision for paramedic care. This document describes how and why BCEHS is moving to an evidence based best practice model subject to constant review and improvement. The expert approach is provided for your review to either enhance or reaffirm your best practice characteristics of paramedic pre-hospital care.
The Adult and Pediatric sections contain clinical practice guidelines for patient management by EMR, PCP and ACP practitioners.
Critical Care Paramedics should refer to the Critical Care Guidelines.
The treatment guidelines represent the clinical decision-making framework for prehospital care. Like all decision-making in medicine, this framework is optimally established on a foundation of evidence.
The treatment guidelines include a section that documents the Level of Evidence (LOE) for each of the clinical interventions included in the guidelines.
The inclusion of LOEs is intended to support three fundamental principles:
Documentation of the LOEs is a standard framework for evaluating the quality of research that supports decision-making. The discipline of reviewing and grading evidence is not intuitive. Paramedics are encouraged to learn more by reviewing the background documents from the Canadian Evidence Based Practice website; housed at Dalhousie University, Halifax, Nova Scotia.
The methods section describes how the research is graded and who is involved in doing the grading. The CEBP project is dependent on the active participation of paramedics like you.
The treatment guidelines have been separated into adult and paediatric guidelines. The guidelines are categorized into medical emergencies, trauma and environmental emergencies and within each section they are listed by medical system and specific patient presentations. Each medical system contains an overview of the presentation in general outside the scope of specific treatment guidelines for specific presentations.
A treatment guideline consists of 2 core documents: Medical Principles and Intervention Guidelines.
The medical principles document provides key components of information that paramedics should understand in consideration of their critical decision making process. These guiding principles form the basis of supporting paramedic treatment decisions and provide guidance to either reaffirm or enhance paramedic root training in emergency care. Paramedics must know and understand these key principles and apply them each and every time they provide care to a patient. The principles are not necessarily comprehensive and they may change as we discover important concepts that require reinforcement to paramedics in general.
The intervention guidelines describe the logical treatments that may benefit patients with these presentations. All are within the scope of practice for the given license level. The intervention guidelines are about options. They contain elements of treatment aimed at attaining a specific goal within the context of the patients needs. Depending on the needs of the patient paramedics can choose to apply all of the elements, some of the elements, or none of the elements identified leading up to and including their licensure and consequently within their scope of practice. The intervention guidelines are formatted to provide perspectives of care from the first responder level through to and including in-hospital case management. In this way paramedics are informed about potential care with respect to all levels of medical education and their role in that continuum of care.
BCEHS recognizes that this is a significant change in the way paramedics have traditionally thought about their patients and practice. Paramedics are expected to have a full and complete understanding of the medical principles and intervention guidelines contained within each treatment guideline and should be able to integrate the treatment guidelines into their practice.
Paramedics of all license levels are encouraged to contact CliniCall to speak to a referral paramedic specialist and/or an emergency physician online support (EPOS) doctor to discuss case presentations, treatment guidelines, operational logistics, complex decision making or at any time the paramedic feels like communicating with a trusted peer.
CliniCall 604-829-4099 or 1-833-829-4099 Toll Free