M-9, r. 2 - Regulation respecting the professional activities that may be engaged in within the framework of pre-hospital emergency services and care

Updated to 1 September 2012

This document has official status.

chapter M-9, r. 2

Regulation respecting the professional activities that may be engaged in within the framework of pre-hospital emergency services and care

Medical Act

(chapter M-9, s. 3).

Professional Code

(chapter C-26, s. 94, par. h).

Replaced, O.C. 26-2012, 2012 G.O. 2, 387; eff. 2012-02-16; see c. M-9, r. 2.1

DIVISION I GENERAL PROVISIONS

1. The purpose of this Regulation is to determine, amongst the professional activities that physicians may engage in, the professional activities that, pursuant to the terms and conditions set out herein, may be engaged in by a first responder, an ambulance technician, an ambulance technician trained in advanced care or by other persons within the framework of pre-hospital emergency services and care.

O.C. 887-2006, s. 1.

2. In the absence of a first responder or ambulance technician, any person who has received training in cardiopulmonary resuscitation meeting the standards prescribed by the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care and including the use of the defibrillator may use the automated external defibrillator when performing cardio-respiratory resuscitation.

O.C. 887-2006, s. 2.

3. In the absence of a first responder or ambulance technician, any person having received training in the administration of adrenalin approved by the regional or national medical director of pre-hospital emergency services may administer adrenalin with an auto-injection device to a person in the case of an acute anaphylactic allergic reaction.

O.C. 887-2006, s. 3.

4. The professional activities authorized in sections 5, 7 and 11 are engaged in under the clinical protocols developed by the Minister of Health and Social Services pursuant to section 3 of the Act respecting pre-hospital emergency services (chapter S-6.2) and approved by the Collège des médecins du Québec.

O.C. 887-2006, s. 4.

DIVISION II ACTIVITIES AUTHORIZED FOR A FIRST RESPONDER

5. The first responder may:

(1)  use the automated external defibrillator for cardiopulmonary resuscitation;

(2)  administer adrenalin with an auto-injection device in case of an acute anaphylactic allergic reaction.

“First responder” means a person whose name is on the list of first responders drawn up by an agency pursuant to section 339 of the Act respecting health services and social services (chapter S-4.2) or by the Corporation d’urgences-santé pursuant to section 87 of the Act respecting pre-hospital emergency services (chapter S-6.2).

O.C. 887-2006, s. 5.

DIVISION III ACTIVITIES AUTHORIZED FOR AN AMBULANCE TECHNICIAN

6. To be authorized to engage in the professional activities described in section 7, the ambulance technician must hold a diploma or an attestation of college studies in ambulance technician training.

The ambulance technician must also have:

(1)  a valid ambulance technician card, issued by the responsible authority designated by the Minister of Health and Social Services and be registered in the national workforce registry constituted and maintained by the latter; or

(2)  a valid identity card and a compliance certificate issued by an agency or by the Corporation d’urgences-santé.

O.C. 887-2006, s. 6.

7. In addition to the activities contemplated by section 5, the ambulance technician may:

(1)  assess the presence of signs or symptoms allowing the application of the protocols contemplated in section 4 in a person with a health problem that requires emergency intervention;

(2)  insert a dual lumen esophago-tracheal tube in a person experiencing cardiopulmonary arrest or with an impaired state of consciousness and a respiratory rate of less than 8 breaths per minute;

(3)  administer sublingually, orally, intranasally, subcutaneously, intramuscularly or by inhalation the necessary substances or medications to a person who presents a health problem requiring an emergency intervention;

(4)  introduce an intravenous solution not containing medication using a short peripheral catheter at the request and in the presence of an ambulance technician trained in advanced care;

(5)  use the semi-automatic defibrillator monitor for cardiopulmonary resuscitation;

(6)  provide clinical monitoring of the condition of a person who presents a health problem requiring an emergency intervention.

O.C. 887-2006, s. 7.

8. Is authorized to engage in the professional activities referred to in sections 5 and 7 any person to whom a valid identity card and a compliance certificate is issued by a regional board or by Corporation d’urgences-santé between 1 April 2000 and 1 April 2003, and who has either:

(1)  a valid ambulance technician card, issued by the responsible authority designated by the Minister of Health and Social Services, and registered in the national workforce registry; or

(2)  an identity card and a compliance certificate issued by an agency or the Corporation d’urgences-santé.

O.C. 887-2006, s. 8.

9. A student duly enrolled in a program of studies leading to a diploma contemplated in the first paragraph of section 6 may, in the presence of an ambulance technician who is recognized as an instructor by an institution of collegial studies, engage in the professional activities contemplated by sections 5 and 7 insofar as they are required for the completion of this program.

O.C. 887-2006, s. 9.

DIVISION IV ACTIVITIES AUTHORIZED FOR AN AMBULANCE TECHNICIAN TRAINED IN ADVANCED CARE

10. In order to be authorized to engage in the professional activities described in section 11, the ambulance technician trained in advanced care must, as of 1 April 2002, have successfully completed the advanced training recognized by the Corporation d’urgences-santé and approved by the Collège des médecins du Québec acting on behalf of the Corporation d’urgences-santé.

The ambulance technician must also have:

(1)  either a valid ambulance technician card issued by the responsible authority designated by the Minister of Health and Social Services, and registered in the national workforce registry;

(2)  or an identity card and a compliance certificate, issued by the Corporation d’urgences-santé.

O.C. 887-2006, s. 10.

11. The ambulance technician trained in advanced care may, in addition to the activities referred to in sections 5 and 7:

(1)  administer intravenously or endotracheally the medications required by an adult person presenting a severe arrhythmia;

(2)  administer intravenously glucose to a person identified as diabetic who presents impaired consciousness due to hypoglycemia;

(3)  proceed with a direct laryngoscopy of a person more than 1 year of age whose respiratory tract is obstructed by a foreign body and proceed to withdraw it.

He may also, as part of a research project designed to evaluate advanced pre-hospital emergency care, proceed with the endotracheal intubation of an adult person experiencing cardiopulmonary arrest or with an impaired state of consciousness.

O.C. 887-2006, s. 11.

12. This Regulation replaces the Regulation respecting the professional activities that may be engaged in within the framework of pre-hospital emergency services (O.C. 233-2003, 03-02-26).

O.C. 887-2006, s. 12.

13. (Omitted).

O.C. 887-2006, s. 13.

REFERENCES

O.C. 887-2006, 2006 G.O. 2, 3463