Ministry of Health (ON)
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Ambulance Communication Services (ACS)
Dispatching of ambulances is done through Central Ambulance Communication Centres, or CACC. The service provider is the entity that controls the CACC. For example, Toronto and Ottawa self-dispatch and run their own CACCs whereas Hamilton and Cambridge CACCs are run by the Ministry of Health (Provincial Government).
Procedures and additional information for Ottawa CACC (but still applicable to other areas) can be found on this page: https://www.ottawaparamedics.ca/communications/
List of Central Ambulance Communications Centres (CACC)
Detailed talkgroup listings for MOH CACC's can be found for:
- Zone 1: https://www.radioreference.com/apps/db/?sid=861
- Zone 2: https://www.radioreference.com/apps/db/?sid=2560
- Zone 3: https://www.radioreference.com/apps/db/?sid=3511
- Zone 4: https://www.radioreference.com/apps/db/?sid=5490
- Cambridge CACC
Service provider: Province
Coverage: Waterloo Region (except extreme SW), Wellington Co, Dufferin Co)
- Georgian (Barrie)CACC
Service provider: Province Coverage: York Region, Simcoe Co.
- Hamilton CACC
Service provider: Province
Coverage: City of Hamilton, Brant, Haldimand and Norfolk Counties.
- Kenora CACC
Service provider: Hospital
- Kingston CACC
Service provider: Hospital
- Lindsay CACC
Service provider: Province
- London CACC
Service provider: Province
- Mississauga CACC
Service provider: Province
Coverage: Peel (including Caledon) and Halton Region.
- Niagara CACC
Service Provider-???
Coverage: Niagara Region
- North Bay CACC
Service provider: Hospital
- Oshawa (Whitby) CACC
Service provider: Province
- Ottawa CACC
Service provider: Municipality
- Renfrew CACC
Service provider: Province
- Sault Ste. Marie CACC
Service provider: Hospital
- Sudbury CACC
Service provider: Province
- Thunder Bay CACC
Service provider: Province
- Timmins CACC
Service provider: Municipality
- Toronto CACC
Service provider: Municipality
Coverage: City of Toronto
- Wallaceburg CACC
Service provider: Hospital
- Windsor CACC
Service provider: Province
Vehicle Numbers
See these forum threads for more information: https://forums.radioreference.com/threads/ambulance-numbering.292497/ https://forums.radioreference.com/threads/ambulance-unit-numbers.405909/
2xxx - First digit is Region. 1 is the London, Oxford, and Perth area; 2 is Waterloo, Wellington, Hamilton, and Niagara area; 3 is Halton, Peel, and York area
x1xx - Second digit designates the vehicle type. 0, 1 and 2 are usually ambulances with stretchers. 3 usually refers to Supervisors or First Response Units (i.e., no patient transport capability)
Ontario Ambulance 10 Codes
10 codes
- 10-3 All Vehicles stop Transmitting
- 10-4 Acknowledged
- 10-6 Busy-Stand by unless Urgent
- 10-7 Arrived(or OUT of Service)
- 10-8 Departed (or IN service)
- 10-9 Repeat last Transmission
- 10-13 Unable to reply (Relative near by etc.)
- 10-19 Return to Base
- 10-20 What's your Location
- 10-21 Phone by Landline or Cellular
- 10-25 Non-Violent Psychiatric Patient
- 10-26 Call is cancelled
- 10-27 Hostage Taking or SWAT Standby
- 10-34 What's the Hospital status
- 10-36 Emergency is CLOSED (Critical care Bypass)
- 10-37 Emergency is OPEN to Code 3's only (ReDirect Considerations)
- 10-38 Emergency is CLEAR
- 10-50 Violent Psychiatric Patient
- 10-100 Bomb Threat
- 10-200 Have Police Attend (often abbreviated to 10-2's)
- 10-2000 Send Police IMMEDIATELY
Colour Codes
Ambulance Availability
These codes are used by Region of Waterloo Paramedic Services/Cambridge CACC to indicate number of ambulances available.
Code Yellow = 3 or fewer ambulances
Code Red = No ambulances available
Hospital Status (Waterloo Region)
These codes are used by the Cambridge CACC to inform Region of Waterloo ambulance crews of the hospitals availability for taking in patients with COVID symptoms. They are not the same codes used internally by hospitals. Source: https://twitter.com/hotSahs/status/1319745497981177856 https://twitter.com/hotSahs/status/1311673087600013313
Applicable to hospitals in the Waterloo Region: St. Mary's, Grand River, and Cambridge Memorial
Green = Accepting patients screened with COVID symptoms
Black = No space available for patients screened with COVID symptoms
Ontario Priority Codes
Priority Codes
- CODE 1 Deferrable call - can be delayed without physical harm to patient (e.g., transfer of CTAS Level 5 patient to hospital)
- CODE 2 Scheduled call - non-emergency calls with a time element (e.g. scheduled transfers)
- CODE 3 Prompt call - not life threatening or not in immediate danger, lights and siren optional
- CODE 4 Urgent call - life threatening or in immediate danger (life, limb or function threatened). Lights on, siren optional.
- CODE 5 Obviously dead (Rigidity, Decomposition, Vivisection, Decapitation...)
- CODE 6 Legally dead
- CODE 7 Unstaffed at station OR out of service
*71 = No patient found *72 = Patient refused care/transport *73 = Patient expired [as in decease] *74 = Patient in police custody *75 = Transported by another ambulance *76 = Canceled before patient contact
- CODE 8 Standby at location
- CODE 9 Unit in for servicing (Not Usable)
- CODE 19 non-essential call
CTAS Levels
The Canadian Triage and Acuity Scale (CTAS) has five levels:
Level 0: Obviously dead or TOR
Level 1: Resuscitation – Conditions that are threats to life or limb, needs immediate medical intervention
Level 2: Emergent – Conditions that are a potential threat to life, limb or function. Rapid intervention required to prevent further deterioration that may require resuscitation
Level 3: Urgent – Serious conditions that could progress, requiring emergency intervention
Level 4: Less urgent – Conditions that relate to patient age or distress, or has potential for further deterioration/complications. Would benefit from intervention.
Level 5: Non-urgent – Minor complaints, such as conditions that are non-urgent or that may be part of a chronic problem. Investigation/intervention can be delayed.
Acronyms
ACP Advanced care paramedic ALS Advanced Life Support ASA Acetylsalicylic acid (Aspirin) BLS Basic Life Support CACC Central Ambulance Communications Centre CMH Cambridge Memorial Hospital (in Cambridge CACC coverage area) COPD A lung disease that can cause breathing problems (Chronic obstructive pulmonary disease) CVA Stroke (cerebrovascular accident) GCS Glasgow Coma Scale JB Joseph Brant Hospital (in Mississauga CACC coverage area) LOA Level of awareness LOC Level of consciousness MVC Motor vehicle collision TOC Transfer of care. Time which patient has been transferred into the care of a receiving facility (e.g., hospital) TOR Termination of Rescucitation UTM A coordinate system, see UTM in Terminology VSA Vital signs absent
Terminology
Patch - Usually refers to communications between ambulance and hospital (e.g., patient reports) done over the radio, facilitated by a 'patch' between a hospital talkgroup and a MOH talkgroup
Tiered - A multi-agency response. Depending on the call and local procedures, Fire or Police will respond alongside EMS. For example, if there's a call for a cardiac arrest, Fire will be 'tiered' and respond to the call with EMS. A major highway collision will usually have Police, Fire and EMS respond, a 'fully tiered' response.
UTM - Coordinates that specifies a 1 KM block on a map. You can use this converter (http://www.bpsmicro.com/utmgoogleapp.htm) to see the approximate area on Google Maps. Set the ellipsoid to 'WGS-84', and for Waterloo/Wellington, set the UTM zone to '17T'. Enter the 7-digit UTM in the 'CACC UTM' box, and then press 'Display'. See this forum thread for more information: https://forums.radioreference.com/threads/how-does-the-utm-work.202680/