PCP Medical Directives

PCP auxiliary directives for authorized mass-gathering events (ALS PCS Section 3). Use only when authorized by your RBHP.

Interactive scoring and decision-support tools. Reference charts (GCS, PCS, LAMS) are under Medical References.

Common home medications and paramedic-carried drugs: class, route, onset, and field notes. Suffix patterns help recognize unfamiliar drug names.

Burn % Calculator

Rule of Nines Assessment

Medical decision support tool — not sole basis for critical interventions.

FAST Sepsis Pre-Alert

GWPS, HPS, ROWPS Protocol

1. Clinical Suspicion

Do you suspect or know there is an infection?

LAMS Score

Los Angeles Motor Scale

Facial Droop

Arm Drift

Grip Strength

More on stroke protocol: For DSC indications, LVO/CTAS reporting, and contraindications from BLS PCS, open the Acute Stroke Protocol - Prompt Card under Destination Guidelines.

Decision support only — apply BLS PCS, ALS PCS, and CACC direction.

Pediatric Quick Calc

Weight, BP, vitals & BGL

Max age: 12 years

Patient age

Est. weight (kg)

—

Blood pressure (SBP)

Normotension

—

Hypotension

—

Normal vitals (reference)

Resp. rate

—

Heart rate

—

Hypoglycemia threshold

—

Calculations use: Weight = (age × 2) + 10; normotension SBP ≥ 90 + (2 × age in years); hypotension SBP < 70 + (2 × age in years). Vitals and BGL bands match the paediatric protocol chart in Medical References → Pediatric Values.

O₂ Tank Duration

Pressure, flow, and cylinder factor

Gauge pressure (psi)

Safe residual pressure (psi)

Flow rate

Cylinder type / factor

Estimated duration

Enter tank values to see duration

Formula: ((gauge − safe residual) × factor) ÷ flow rate. Always monitor the patient and physical gauge.

Weight Converter

Pounds (lbs)

Kilograms (kg)

1 kg = 2.20462 lbs

Medical Dosage Calculator

(Want ÷ Have) × volume → mL to administer

Dose ordered (what you want)

Amount

Unit

Dose on hand (what you have)

Drug amount

Unit

in a volume of

Liquid volume

Unit

Administer volume

Enter ordered dose and on-hand values to see mL.

Tutor breakdown

Fill the form for a step-by-step walkthrough.

Clinical decision support only — verify with protocol, double-check math, and follow scope.

Parkland Burn Calculator

Fluid resuscitation & IV drip rates

Patient details

Patient weight

Total body surface area burned

IV drip set (drop factor)

Awaiting patient data

Enter weight and TBSA burned (1–100%) to estimate 24-hour fluid needs and drip timing.

Formula reference

Total vol: 4 mL × weight (kg) × TBSA (%)

Drip rate: (mL/hr × drop factor) ÷ 60 → gtts/min

Decision support only — follow local burn/trauma protocol, pediatric rules, and medical direction.

IV Therapy Calculator

Drip rates & Ontario ALS PCS–style fluid targets

Volume to administer (mL)

Time

Drop factor (gtts/mL)

Drip rate

0 gtts/min

Seconds per drop

0

Decision support only — confirm with ALS PCS, BHP, and service policy.

Regional contacts, OMC patch, and reference tools. Tap any phone number to call.

Ontario BLS PCS destination standards, prompt cards, and regional operational references. Confirm all details with your service.

Dextrose Calculator

ALS PCS — Hypoglycemia Directive

Patient Weight

Age Group

Concentration

Volume to administer — mL

Dextrose mass — g

Weight (kg)—

RouteIV

Enter patient weight to calculate dose

Directive Parameters

D10W — Under 2 years

Dose: 0.2 g/kg (2 mL/kg)
Max single dose: 5 g (50 mL)

D10W — Age ≥ 2 yr

Dose: 0.2 g/kg (2 mL/kg)
Max single dose: 25 g (250 mL)

D50W — Age ≥ 2 yr

Dose: 0.5 g/kg (1 mL/kg)
Max single dose: 25 g (50 mL)

Dosing

Route: IV
Interval: 10 min
Max doses: 2

Titrate to level of awareness where patient can safely consume complex carbohydrate.

Decision support only — confirm with ALS PCS, BHP, and service policy.

EPINEPHrine (IM) Calculator

ALS PCS — Anaphylaxis (1:1,000)

Patient Weight

Dose to administer — mg

Volume to draw up (1:1,000) — mL

Weight (kg)—

RouteIM

Conc.1 mg/mL

Enter patient weight to calculate dose

Directive Parameters

Allergic Reaction

Dose: 0.01 mg/kg IM (rounded to nearest 0.05 mg)
Max single dose: 0.5 mg
Interval: minimum 5 min
Max doses: 2

Medical Cardiac Arrest
(Anaphylaxis as causative event)

Same dose calculation
Max doses: 1 only

Concentration: 1 mg/mL (1:1,000). EPINEPHrine administration takes priority over IV access.

Decision support only — confirm with ALS PCS, BHP, and service policy.

Bronchoconstriction Calculator

ALS PCS — EPINEPHrine & Dexamethasone

Patient Weight

EPINEPHrine IM (1:1,000)

Dose — mg

Volume to draw up — mL

Condition: apneic patient requiring BVM + history of asthma. Max 1 dose.

Dexamethasone PO / IM / IV

Dose — mg

Condition: Hx asthma OR COPD OR ≥ 20 pack-year. Max 1 dose.

Weight (kg)—

Enter patient weight to calculate doses

Directive Parameters

EPINEPHrine IM (1:1,000)

0.01 mg/kg (rounded to nearest 0.05 mg)
Max single dose: 0.5 mg
Max doses: 1

Dexamethasone

0.5 mg/kg PO/IM/IV
Max single dose: 8 mg
Max doses: 1

Decision support only — confirm with ALS PCS, BHP, and service policy.

Croup Calculator

ALS PCS — EPINEPHrine NEB & Dexamethasone

Patient Weight

Age range: ≥ 6 months to < 8 years

EPINEPHrine NEB (1:1,000)

Dose — mg

Volume of 1:1,000 solution — mL

Condition: stridor at rest. HR < 200 bpm. Max 1 dose.

Dexamethasone PO

Dose — mg

For mild, moderate and severe croup. Unaltered LOA. Max 1 dose.

Weight (kg)—

Epi bracket—

Enter patient weight to calculate doses

Directive Parameters

EPINEPHrine NEB (1:1,000)

Weight < 10 kg → 2.5 mg (2.5 mL)
Weight ≥ 10 kg → 5 mg (5 mL)
Max doses: 1

Dexamethasone PO

0.5 mg/kg
Max single dose: 8 mg
Max doses: 1

Decision support only — confirm with ALS PCS, BHP, and service policy.

Medical Directives

Burn % Calculator

FAST Sepsis Pre-Alert

1. Clinical Suspicion

2. Apply ParaHEWS

LAMS Score

Facial Droop

Arm Drift

Grip Strength

Acute Stroke Protocol Guidance

Pediatric Quick Calc

Blood pressure (SBP)

Normal vitals (reference)

O₂ Tank Duration

Estimated duration

Weight Converter

Medical Dosage Calculator

Dose ordered (what you want)

Dose on hand (what you have)

Administer volume

Tutor breakdown

Parkland Burn Calculator

Patient details

Awaiting patient data

Total 24-hour fluid requirement

First 8 hours

Next 16 hours

Formula reference

IV Therapy Calculator

Drip rate

Dextrose Calculator

Directive Parameters

EPINEPHrine (IM) Calculator

Directive Parameters

Bronchoconstriction Calculator

Directive Parameters

Croup Calculator

Directive Parameters