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. 

Clinical Practice Guidelines

•  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
•  2024-08-02
  • B03: Asthma and Bronchospasm edited algorithm to include epinephrine and magnesium
•  2024-06-28
  • B01: Airway Management fixed overlooked Covid-era limitation on nasal cannula flow rates
•  2024-06-25
  • D03: Vascular Access and Fluid Administration included limitations on attempts at access
• 2024-06-24
  • B03: Asthma and Bronchospasm Added Severity of Asthma image
  • B04: Croup and Epiglottitis Added Westley Croup score image
• D03: Vascular Access and Fluid Administration removed consultation language for 12-16 year olds, updated language to align with PCP education
•  2024-06-19
  • D03: Vascular Access and Fluid Administration removed consultation language for 12-16 year olds, updated language to align with PCP education
  • M06: Pediatric Cardiac Arrest added intraosseous cannulation under PCP
  • N02: Adult Cardiac Arrest update language to align with PCP education, added intraosseous cannulation under PCP
  • PR12: Intraosseous Cannulation updated age limitations for PCPs

• 2024-06-19
  • Removed public access to BC Stroke Care Tiers of Service document.  This version, published in 2017, has been deprecated by Stroke Services BC ahead of the release of new guidance.  For continuity and planning purposes, the previous version remains available for use by BCEHS paramedics in care planning (you must be logged in to access this link). 
•  2024-06-14
  • Updated PR26: Venipuncture - Ethical Decision Making with PCP IO indications
  • Updated PR12: Intraosseous Cannulation with PCP contraindications
•  2024-06-11
  • Removed material relating to glucagon from E09: Anaphylaxis missed during original editing (see changes noted 2024-05-01)
•  2024-05-23
  • A14: Clinical Ethics for Out-of-Hospital Providers updated link to PHSA POD 
• 2024-05-03
  • PR12: Intraosseous Cannulation clarified license level roles and restrictions
  • B03: Asthma and Bronchospasm new clarifications for disease severity; new algorithm
• 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.
  • E01: Hypoglycemia and Hyperglycemia updated to include intranasal glucagon
  • E09: Anaphylaxis removed glucagon from treatment options
  • J07: Beta Blocker Toxicity removed glucagon from treatment options
  • J09: Calcium Channel Block Toxicity: removed glucagon from treatment options
  • N02: Adult Cardiac Arrest updated intraosseous information
  • D03: Vascular Access and Fluid Administration updated intraosseous information
  • PR12: Intraosseous Cannulation updated indications

Drug Monographs

• 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
•  2024-08-30
  • Acetaminophen repeat dosing strategy clarified, fixed typo
•  2024-08-02
  • Calcium chloride dosing strategy clarified
  • MORPHine monograph updated
  • Acetaminophen monograph updated
  • Ibuprofen monograph updated
•  2024-07-09
  • Ondansetron pediatric age range clarified
•  2024-06-24
  • Ketamine monograph indications updated to correct oversight
•  2024-05-17
  • Epinephrine monograph updated to include PCP anaphylaxis
• 2024-05-01 
  • Glucagon monograph updated to include intranasal administration. ACP indications changed (see associated changes to guidelines, 2024-05-01 for details). 

Clinical Resources

• 2024-11-07
  • Added Pain Assessment Ruler to Clinical Scores
  • Re-sort of most commonly used resources
•  2024-08-02
  • Fraser Health Alternative pathways long term care added

• 2024-06-16
  • EpiDOSE enrolment card and FAQ information updated

Clinical Pathways (Restricted)

• 2024-08-02
  • Heat Emergencies ASTaR updated

Operational Content (Restricted)

• 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.
•  2024-11-07
  • Updated UC information for Station 330.
•  2024-11-07
  • 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.
•  2024-11-04
  • Updated Station 153 information
• 2024-11-04
  • Updated Manager information for Station 103, 104, 105, 106, 114, 117.
• 2024-11-04
  • 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 door codes Stn 761
•  2024-10-30
  • 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.
•  2024-10-25
  • Updated Vanderhoof (St.John) Hospital information
•  2024-10-24
  • Updated PPEd contact information 
  • Updated 324 door code information
  • Updated 645 UC infomation
•  2024-10-24
  • Updated UC information for Station 283.
•  2024-10-24
  • Updated Director information for Station 180, 280, 283, 370, 380, 580.
•  2024-10-24
  • Updated Manager information for Station 370, 380, 580.
•  2024-10-22
  • Updated UC contact information for Station 204.
•  2024-10-22
  • Updated OCUC and UC information for 315 and 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.
•  2024-10-15
  • Updated UC information for Station 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
•  2024-10-04
  • 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 Mackenzie Hospital information
•  2024-09-23
  • Updated Station information for 402, 406, 410, 412, 415, 417, 419, 421, 422, 423, 424, 426, 427, 431, 532 and 767. 
•  2024-09-12
  • Updated Station 263 information
• 2024-08-30
  • Updated LDR phone for Lion's Gate Hospital 
  • Updated contact information for Stations 243, 244, 245, 248, 250, 262, 269, 277, 326, 328, 405, 415, 417
  • Removed Pandora Avenue response restrictions
  • Updated Mt. St. Joseph Hospital access
•  2024-08-02
  • Vernon Door Code updated
•  2024-08-02
  • Vancouver Sierra call signs updated

• 2024-06-26
  • Update Vancouver General Hospital page to reflect pediatric exception for VCH Acute Pediatric Sexual Abuse Pathway
•  2024-06-14
  • Update station 405 contact information
  • Update station 248 UC contact information
  • Update Fraser Health immediate release protocol
•  2024-05-30
  • Lions gate ER door code change
• 2024-05-24
  • Station 117 UC phone number change
• 2024-05-24
  • Station 227 Door Code Change
• 2024-05-24
  • Added L&D phone number to Lions Gate Hospital 
• 2024-05-17
  • Removed free parking location from 256 that is no longer free parking

• 2024-05-17
  • Update Crew Support & Dispatch Supervisors- VDOC contact numbers

• 2024-05-17
  • Update station 150 A/UC contact info
•  2024-05-15
  • Cariboo Memorial Hospital Triage phone number
•  2024-05-13
  • KDOC manager and team leader details
  • Victoria 118 access and location information
  • Clinton 308 contact information
•  2024-05-09
  • Atlin 751 access information
•  2024-05-01
  • Vanderhoof 771 access information