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There is considerable degree of inter-provincial variation in the Canadian Paramedic practice. Although a national consensus (by way of the National Occupational Competency Profile) identifies certain knowledge, skills, and abilities as…

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Ottawa was the first Paramedic Service to have a Stemi protocol( where the medics interrupt the 12-Lead, diagnose the Stemi, and decide on their own to transport to a Heart institute to a cath lab.

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