Ottawa Paramedic Service
Adult Bypass Criteria

Critical

Major Burns
CTAS 1–2
Destination
Civic Hospital
STEMI Bypass
CTAS 1–2
Destination
Heart Institute
As per STEMI bypass with pulse
Stroke Bypass
CTAS 2–5
Destination
Civic Hospital
As per Acute Stroke Protocol
Ventricular Assist Device
CTAS 1–5
Destination
Civic Hospital
All patients that are conscious and breathing
Trauma
CTAS 1–2
Destination
Civic
As per FTTS use 60 min
ROSC
CTAS 1
Destination
Civic
As per

Specialty

T.E.D
CTAS 3–5
Destination
TED Clinic (256 King Edward St.)
As per T.E.D criteria 3.0
Sexual Assault / Intimate Partner Violence
CTAS 2–5
Destination
Civic
All patients, regardless of type of violence by a current or ex-partner &/or any sexual assault

Return

Admission to psychiatric unit × 1 month
CTAS 2–5
Destination
Home campus – Civic, OGH, QCH, MTF
Hospital where the patient was admitted on the psychiatric unit
In-patient surgical procedure × 1 month
CTAS 2–5
Destination
Home campus – Civic, OGH, QCH, MTF
Hospital that the patient had the surgical procedure done at
Admission to medical unit × 14 days
CTAS 2–5
Destination
Home campus – Civic, OGH, QCH, MTF
Hospital where the patient was admitted on the medical unit
Dialysis
CTAS 2–5
Destination
General or Civic Hospital
Transport to their home campus
Oncology
CTAS 2–5
Destination
General
CPR Refresher

Compression : Ventilation

30:2

Regardless of officer numbers

Rate100–120 /min
Depth≥ 5 cm
Hand placement2 hands — lower sternum
CPR if pulse< 40 BPM
Advanced airway6–10 breaths/min (continuous compressions)

ALS Medications

Epinephrine1 mg IV/IO q3–5 min
Amiodarone300 mg IV/IO (refractory VF/VT)
Lidocaine1–1.5 mg/kg IV/IO (alt)
Magnesium1–2 g IV (torsades)
Sodium Bicarb1 mEq/kg IV (hyperK/TCA)
Peds GuideALS PCS v5.4
kg

Enter patient weight (0.5 – 149 kg)

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