Emergency Medical Services
Current Skill Set
Primary Care Paramedics in Ontario are highly trained and have many advanced skills that allow them to provide care in accordance with the Basic Life Support Patient Care Standards as well as to provide care under numerous medical directives as set out in the Advanced Care Life Support Patient Care Standards once certified and authorized to by their regional base hospital physician.
In Northwestern Ontario our regional base hospital program is the Northwestern Ontario Prehospital Care Program.
Our primary care paramedics are authorized and certified by the medical director of the NWRPCP in the following advanced skills:
- Cardiac monitoring
- ECG interpretation
- Supraglottic airway
- CPAP
- Manual defibrillation (adult and pediatric)
- 12 lead interpretation
- Glucose blood sampling
- Emergency childbirth (OB delivery, external uterine massage, placental delivery, umbilical cord management, Apgar score)
- Intravenous therapy (IV saline lock, fluid bolus)
- Tracheostomy tube suctioning
- Tracheostomy reinsertion
- Administration of numerous medications
How to Become a Paramedic
To become a primary care paramedic in Ontario you’ll first need to complete a 2-year diploma program at a recognized Ontario College. Each schools’ requirements may vary but typically colleges require the following:
- High school graduation diploma (or mature student status)
- Grade 12 English course
- Grade 11/12 Mathematics course
- Grade 11/12 Biology
- Grade 11/12 Chemistry
- Current Standard First Aid (or equivalent) certificate
- Current CPR (C) – Basic Rescuer level (or equivalent) certificate
- Class 'F' Drivers License – Ontario
- Current Immunizations (including Hepatitis B, Chicken Pox -if needed-, & flu shot recommended)
- Be Communicable Disease free
- Be physically fit & able to lift
- Possess good communication skills & be able to fluently read & write English (French also required for francophone programs)
After graduating from college, you will have to write and pass the Advanced Emergency Medical Care Assistant (A-EMCA) certification exam. The A-EMCA is an all day written exam, 3 hours in the morning and 3 hours in the afternoon, which tests your knowledge learned through your PCP college program. To be eligible for employment as a Primary Care Paramedic you must have successfully passed the A-EMCA with a minimum of 70%.
The next step is to become employed by a paramedic service. Every person who wishes to practice as a paramedic in Ontario, must be employed by a paramedic service. Once you have received an offer of employment the paramedic service will send a certification request to their regional base hospital. You must be certified by the medical director of an Ontario base hospital program before you can work as a paramedic. Once you have passed your base hospital certification, you may begin work with the paramedic service who hired you. Please visit Ontario Colleges for more information and a list of colleges.
Become a Paramedic in Ontario
If you have been trained as a paramedic outside of Ontario and are interested in becoming eligible to work as a paramedic in Ontario to learn more.