Handbook Changelog

Entries are in reverse date order (newest changes at the top). Please e-mail handbook@bcehs.ca for additional details if a change is unclear. 

• 2025-02-20 **KNOWN ISSUE** Some google maps are not loading on the mobile platform. Solution being worked on. 
•  2024-11-28
  • Removed Practice Updates from Handbook Landing Page as these have moved to the New Intranet Practice & Learning Updates
  • What's New content will be removed after 6 months
•  2024-05-01
  • Iconography change: in response to complaints about shading and colour schemes, CliniCall consultation prompts are moving away from background colours and using icons.  A red telephone (☎️) indicates a required consultation; a thinking face (🤔) indicates a recommended consultation. This change will be rolling out slowly to guidelines as they are updated.

Clinical Practice Guidelines

• 2025-02-20
  • PR12 Intraosseous Cannulation PCP Language Updated
•  2025-02-07
  • L03 Eclampsia Updated
  • C04 Wide Complex Tachycardia Updated
• 2025-01-23 
  • PR30 Blood Transfusions Updated
• 2024-12-20 
  • E08: Pain Management **REVISED**
•  2024-11-29
  • B03: Asthma and Bronchospasm updated to align with nebule vs MDI recommendations
•  2024-11-28
  • PR12: Intraosseous cannulation updated to include PCP Adult lidocaine adminstration under direction of on-scene ACP or higher 
•  2024-11-05
  • PR09: Continuous Positive Airway Pressure updated iconographs for consultation and updated CPAP image
•  2024-10-31
  • CPG Format Change: To streamline content and improve clarity, revised CPGs will adopt a simplified format. Fundamental interventions, such as Pain Management, will be listed only under the first applicable license level, with comprehensive details accessible through the linked CPG. This updated format will be gradually implemented as each guideline is revised.
•  2024-10-31
  • H10 Burns **REVISED**
•  2024-10-30
  • E08 Pain Management removed PCP IV Acetaminophen on hold language
• 2024-10-22
  • E08 Pain Management added IN Ketamine for PCP Flight trained paramedics 
•  2024-09-19
  • Neonate Page for Age Neonatal corrections
•  2024-09-19
  • E08: Pain Management added updated pain triangle and removed old algorithm

Drug Monographs

• 2025-02-18
  • Updating TALLman lettering for morphine
•  2025-02-12
  • Added clinical Q&A for ketorolac link to ketorolac
•  2025-02-07
  • Revised Magnesium Sulfate
•  2025-02-06
  • Fixed dead link in ketorolac for E08 Pain Management
•  2025-02-05
  • Updated Glucose 40% Oral Gel to Oral Glucose
•  2025-02-04
  • Updated oral glucose options
•  2025-01-31
  • Updated contraindications for ketorolac
•  2025-01-21
  • Aligned EMR and PCP pediatric ibuprofen dosing
•  2025-01-20
  • Updated ibuprofen and acetaminophen with EMR pediatric dosing clarification
•  2025-01-15
  • Updated ibuprofen contraindications to align with ketorolac
•  2024-12-17
  • Removed TALLman lettering from ketorolac
•  2024-12-16
  • Removed CCP dosing from keTORolac
  • Updated Hydoxocobalamin Drug Monograph
•  2024-12-13
  • Added KeTORolac to PCP & ACP formulary 
•  2024-11-29
  • Ipratropium updated to align with nebule vs MDI recommendations
  • Salbutamol updated to align with nebule vs MDI recommendations
•  2024-11-25
  • Ibuprofen PCP Indications updated to align with Acetaminophen
  • Acetaminophen PCP IV Acetaminophen Indications updated
  • Lidocaine PCP administration under direction of on-scene ACP or higher added
•  2024-10-30
  • Acetaminophen ACP/PCP mixing instructions clarity
•  2024-10-24
  • Acetaminophen and Ibuprofen updates 
•  2024-10-22
  • Ketamine updated for PCP IN use (restricted)
•  2024-09-19
  • Acetaminophen updated with additional IV acetaminophen information(dosing etc) 
• 2024-09-17 
  • Acetaminophen added PCP antipyresis and analgesic under pediatric 
•  2024-09-12
  • Acetaminophen drip rate typo fixed
•  2024-09-03
  • Hydrocortisone consultation requirements harmonized

Clinical Resources

• 2024-11-07
  • Added Pain Assessment Ruler to Clinical Scores
  • Re-sort of most commonly used resources

Clinical Pathways (Restricted)

• 2025-02-05
  • Updated Island Health Stroke Clinical Pathways
  • Added Stroke Pathway - West Coast 
•  2025-01-20
  • Simplified Interior Health Authority Stroke Pathway language
  • Differentiated Island Health and Interior Health Authority(IHA)
•  2024-12-10
  • Updated KGH STEMI wording
  • Updated VCH Trauma Rural and Urban
  • Updated Vancouver Coastal & Providence Off Load Delays
  • Added Vancouver Coastal & Providence Destination Guide
  • Updated Provincial ASTaR Substance Use Referral 
•  2024-12-02
  • Added Sooke Alternate Conveyance Pathway
  • Update Island Health Sobering Centers
•  2024-08-02
  • Heat Emergencies ASTaR updated

Operational Content (Restricted)

• 2025-02-20
  • Update operational information for stations 225, 229, 302, 311, 320
  • Update Food Venue section for Region 2
  • Added map for station 338, 370
•  2025-02-19
  • Add map to stations 304, 309, 313, 327, 332, 751, 753, 773
  • Update operational information for stations 202, 205, 222, 303, 339, 340, 343
  • Update hospital information for Cariboo Memorial Hospital (Williams Lake), Alexis Creek Health Centre, Squamish Hospital
•  2025-02-18
  • Update operational information for stations 308, 318, 321, 327, 406
  • Update operational information for Hospitals: Lillooet Hospital & Health Centre, Mayne Island Health Care Centre, East Kootenay Regional Hospital, 100 Mile Hospital, Elk Valley Hospital (Fernie), Cortes Health Centre, Ashcroft UPCC, Lady Minto Hospital (SSI)
•  2025-02-17
  • Update operational information for stations 306, 307, 328, 333, 335, 405, 408
  • Update operational information for Hospitals: Chase & District Health Centre, Dr Helmcken Memorial Hospital (Clearwater), Boundary & District Hospital (Grand Forks)
  • Added photo to station 307
•  2025-02-14
  • Added embedded map to stations 404, 405, 407, 763, 765, 767
  • Added photo to station 405 
  • Updated operations information for station 410, 411, 413, 415, 424, 427
  • Updated operations information for hospitals: Port Alice Health Centre, Golden and District Hospital, Kootenay Lake Hospital (Nelson), Invermere and District Hospital
•  2025-02-13
  • Updated operational information for Station 414
  • Added Map to 417, 419, 423, 431, and 651
  • Updated operational information for GR Baker Hospital (Quesnel) 
  • Updated UC information for Station 538
•  2025-02-12
  • Updated UC information for Station 124, 240, 314, 315
  • Updated operational information for Station 503, 525, 532, 533, 535, 550
  • Updated Hospital information for McBride & District Hospital, Mackenzie & District Hospital, Kootenay Boundary Regional Hospital, University Hospital of Northern BC
•  2025-02-11
  • Updated station information for 503, 645, 651, 681, 690, 765, 769, 767, 771
  • Updated hospital information for Housten Health Clinic, St John Hospital (Vanderhoof), Bulkley Valley Hospital, North Haida Gwaii Hospital (Masset), Ksyen Regional Hospital (Terrace)
  • Updated access codes Station 244 and 403
  • Added photo for Station 773 Southside
•  2025-02-10
  • Updated operations information for the following stations: 751, 761, 763, 771, 773, 852, 858, 868
  • Added to the Trauma Guidelines Island Health Hamm Road as dileneation between Trauma transport to NRGH vs NIHCR
  • Updated operations information for the following Hospitals/Clinics: St John Hospital, Atlin Health Clinic, Lake District Hospital (Burns Lake), Fraser Lake Clinic, Fort St James Hospital, Fort Nelson Hospital
•  2025-02-08
  • Updated the Island Health Major Trauma Destination Guidelines to "Haslan Road" and included Nanaimo Hospital as a reference point. This reflects local knowledge and nomenclature. 
  • Updated operations information for Chemainus Urgent Care Centre, Ladysmith Urgent Care, Fort St John Hospital, Chetwynd Hospital
  • Updated operations information for Station 149, 852, 860
•  2025-02-07
  • Updated OCUC contact information for Station 531
•  2025-02-06
  • Update Operations information for Tofino Hospital, North Island Hospital Campbell River & District, Pender Island Health Centre, Saanich Peninsula Hospital
  • Added hyperlinks for Clinical Pathways to North Island Hospital Campbell River & District (1), Royal Jubilee Hospital (11), Victoria General Hospital (11), Saanich Peninsula Hospital (11),
•  2025-02-05
  • Update Operations information including contact numbers and door codes for the following Hospitals/Clinics: Royal Jubilee Hospital, Victoria General Hospital, Cowichan District Hospital, Cormorant Island Community Health Centre, Gold River Health Centre, Port McNeill Hospital, Kyuquot Health Centre, Zabellos Health Centre, Denman Island Health Centre, and North Island Hospital Comox Valley.
•  2025-02-04
  • PPED contact info added for 102, 103, 104, 105, 106, 107, 108, 109, 114, 115, 117, 120, 122, 124, 126, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 140, 149, 150, 151, 152, 153, 155, 159, 169, 170, 171, 172, 173
  • Updated Manager information for Stations 403, 404, 406, 414
  • Denman Island Health Centre hours updated
  • Updated UC Platoon info 171
•  2025-02-03
  • Update UC Platoon information Stations 137, 150
  • Update parking information Stations 150, 152
  • Update door codes Stations 106, 120, 121, 137
  • Update Contact numbers for CRS 140
  • Update Special circumstances information for water response to 106
  • Updated Manager phone number for Station 370, 380, 580
•  2025-02-01
  • Update UC Phone number for Station 173
  • Update door codes for 105, 107, 131, 133, 136
  • Update UC shift patterns for Stations 131, 132, 133, 134, 136, 155, 169
  • Deleted station phone numbers due to being obsolete, Station 180
  • Update formatting for UC Station 170
  • Added "No house mail please use Purolator" as per UC request for Station 107
  • Added Community Paramedic information for Station 117
•  2025-01-31
  • Update door codes 233
  • Remove 2023 IPAC resources
  • Add Updated Information for 2024/25 Viral Respiratory Illness Season
•  2025-01-30
  • Unpublished Station 185, obsolete
  • Update UC platoon information for Station 103, 104, 105, 114, 126
  • Update UC formatting for Station 106, 126, 129
  • Update door codes for Stations 104, 114, 126
  • Update UC phone number for Station 114
  • Update Manager information for Stations 107, 109, 140
  • Update Hospital door code for Port Hardy Hospital
•  2025-01-28
  • Updated UC information for Station 415 
  • Updated Station 330 A/UC shift pattern
  • Updated Station 431 address
•  2025-01-27
  • Updated Manager information for Station 107, 109, 140, 370, 380, 580
  • Updated UC information for Station 330
• 2025-01-23 
  • Updated door code information for Station 860
  • Updated UC information for Station 137
  • Updated Payroll Calendars & Information for 2025
•  2025-01-22
  • Updated OCUC information for Station 341
  • Updated door code for Station 202, 203, 204, 205, 205X, 206, 214, 215, 219, 222, 224, 225, 228, 229, 233, 235, 240, 243, 244, 245, 247, 248, 249, 250, 251 252, 253, 254, 255, 256, 257, 259, 261, 262, 263, 265, 266, 267, 268, 269, 270, and 288. 
•  2025-01-21
  • Updated door code information for Station 306
•  2025-01-17
  • Updated phone number (crew line) for Station 329
  • Added MSU information for Station 250
  • Added 2025 Alpha Team Rotations
•  2025-01-16
  • Updated UC information for Station 202, 204, 205, 206, 317, 339
•  2025-01-15
  • Updated SNB information for various Interior, North and Island Health Hospitals
  • Updated UC information for 263, 342
  • Updated Sierra information for Lower Mainland
  • Updated FSJ Hospital information
  • Updated Manager information for Station 531, 535.
•  2025-01-14
  • Updated UC information for Station 102, 135, 137, 226, 303, 319, and 342.
  • Updated Stn 255 address.
•  2025-01-09
  • Updated UC information for Station 120, 122, and 690
•  2025-01-08
  • Updated UC information for Stn 222, 257
•  2025-01-07
  • Updated UC phone number for Stn 334
•  2025-01-06
  • Updated UC information for Stn 103, 106, 117, 765
  • Updated Stn 240 and 247 UC and OCUC information. 
  • Updated door codes for Stn 405
  • Updated UBC Hospital information
•  2024-12-23
  • Updated UC information for Stn 306, 330
  • Updated door codes for Stn 306
•  2024-12-17
  • Updated Manager information for Stn 228, 229, 235, 265, 268
  • Updated UC information for Stn 219, 262, 268
•  2024-12-16
  • Updated Medic One (Stn 106) Operational Notes
  • Updated Stn 306 A/UC and 314 OCUC information
•  2024-12-11
  • Updated Queen Victoria Hospital (Revelstoke) information
  • Updated Stn 252 UC information
•  2024-12-10
  • Updated Stn 773 information
  • Updated Indigenous Cultural Advisors information
  • Updated Wreck Beach rescue response 
  • Updated Stn 410 address
•  2024-12-06
  • Updated UC information for Stn 224, 252, 334, 339, 403.
•  2024-12-04
  • Updated Eagle Ridge Hospital (ERH) information
•  2024-12-03
  • Updated Stn 674 information
  • Updated Okanagan South UC information
  • Updated Region 2 OCUC information 
  • Updated Stn 248, 342, 757 UC information
•  2024-11-29
  • Updated UC information for 404 and 406. 
•  2024-11-28
  • Updated UC information for 426
•  2024-11-27
  • Updated Station 330 information
  • Updated Stn 771 door codes
  • Moved Tofino Hospital from Island North to Island Central
  • Removed 257 Annex information
  • Updated UC information for Station 314, 315.
•  2024-11-26
  • Updated Station 645 information
•  2024-11-25
  • Updated UC information for Station 404.
  • Updated Hospital information for Terrace. Ksyen Regional Hospital
  • Updated Station 304 entry code
  • Updated Okanagan Logistics Supervisor contact information
•  2024-11-21
  • Updated Manager information for Station 107, 109, 140.
•  2024-11-19
  • Updated UC information for Station 124.
•  2024-11-15
  • Updated UC information for Station 409.
•  2024-11-07
  • Updated Manager information for Station 317, 326, 328, 330, 403, 405, 406, 410, 411, 414, 415, 428.
  • Updated UC information for Station 330.
  • Updated Manager information for Station 679, 753, 763, 765, 767, 769, 773.
•  2024-11-06
  • Updated Provinical Logisitcs information
•  2024-11-05
  • Hallmark Ford updated access information
•  2024-11-04
  • Updated UC information for Station 233.
  • Updated Station 153 information
  • Updated Manager information for Station 103, 104, 105, 106, 114, 117.
  • Updated Manager information for Station 107, 109, 140.
• 2024-11-01
  • Logistics Operations Tab added under Operations with Provincial Logistics contact and address information
  • Lower Mainland Service Centers information updated. 
•  2024-10-30
  • Updated Stn 761 door codes
  • Updated UC information for Station 173.
•  2024-10-28
  • Updated Station phone number for Station 107.
•  2024-10-25
  • Updated Manager information for Station 219, 222, 224.
  • Updated Vanderhoof (St.John) Hospital information
•  2024-10-24
  • Updated PPEd contact information 
  • Updated 324 door code information
  • Updated 645 UC infomation
  • Updated UC information for Station 283.
  • Updated Director information for Station 180, 280, 283, 370, 380, 580.
  • Updated Manager information for Station 370, 380, 580.
•  2024-10-22
  • Updated UC/OCUC contact information for Station 204, 315, 334.
•  2024-10-21
  • Updated Manager information for Station 225, 233, 255, 256.
•  2024-10-21
  • Updated UC information for Station 267.
•  2024-10-18
  • Updated morgue door code for Station 104.
•  2024-10-15
  • Updated Station information for 308, 318, 319, 324.
•  2024-10-09
  • Updated UC information for Station 324.
•  2024-10-07
  • Updated Manager contact information for station 228, 229, 235, 265, 268.
•  2024-10-04
  • Updated Regional PPL Contact Information
  • Updated station information for 227, 240 and 247.
•  2024-10-01
  • Vancouver General Hospital ER door code updated
•  2024-09-27
  • Updated station information for 228, 229, 235, 244, 250, 265, 268, 269, 270.
•  2024-09-24
  • Added Vancouver Island Dispatch Numbers
•  2024-09-23
  • Updated Station information for 402, 406, 410, 412, 415, 417, 419, 421, 422, 423, 424, 426, 427, 431, 532 and 767. 
  • Updated Mackenzie Hospital information
•  2024-09-12
  • Updated Station 263 information