CACC/ACS Training Bulletin - Issue 18 - version 3.0 - Updated Call Taking and Dispatching Protocols for Ebola Virus Disease

Oct 5, 2026

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Updated CACC/ACS training bulletin dated April 17, 2015 (Issue 18, version 3.0) outlining revised call taking and dispatching protocols for Ebola Virus Disease (EVD). It summarizes changes from version 2.0, including added definitions and updates to the EVD screening tool algorithm and affected-country list. The bulletin defines roles for suspect patients, persons under investigation, and confirmed patients, and specifies transport, documentation, inter-facility transfer processing, and appendix guidance for paramedic services.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages94

Reading Time3 h 57 min

AccessFree to download

Summary of Changes from V2.0 to V3.0

Intended Audience

Definitions

Three Tier Hospital Model

Treatment Hospital

CACC/ACS Training Bulletin Updated Call Taking and Dispatching Protocols for Ebola Virus Disease April 17 , 2015 Issue Number 18 – version 3.0 Emergency Health Services Branch Ministry of Health and Long-Term Care CACC/ACS Training Bulletin, Issue Number 18 – version 3.0 Updated Call Taking and Dispatching Protocols for Ebola Virus Disease Summary of Changes from V2.0 to V3.0 • Training bulletin reordered to place information related to Ebola Virus Disease (EVD) ahead of FREI information. • Added a Definitions section. • Updated Ebola Virus Disease Screening Tool for Paramedic Services dated March 4, 2015. • Modified EVD screening tool algorithm: o fever or other symptoms questions are now only asked when a “Yes” response is received to the travel history questions ; o list ofEVD-affected countries revised. • Incorporated information from Questions & Answers V1.1 into the training bulletin. • Removed requirement for each CACC/ACS to check for updated screening tool daily. EHSB will distribute updates via email to CACC/ACS management. • Enhanced direction on documentation of screening tool responses and provision of information to paramedics and other responders. • Added destination selection guidelines (Provincial and Local Bypass Protocols) for Suspect Patients in the community. • Added direction on processing and assigning inter-facility transfer requests of Persons under Investigation and Confirmed Patients. • Added Chief Medical Officer of Health (CMOH) Ebola Virus Disease (EVD) Directive \#2 for Paramedic Services (Land and Air Ambulance)– Revised April 13, 2015 as Appendix B for background information. Note: No changes have been made to the FREI screening questions portion of this training bulletin. Intended Audience This training bulletin applies to all CACCs/ACSs and the Ornge Communication Centre (OCC) . For those ambulance communications centres not using the DPCI II ambulance call triaging protocols, the relevant portions ofthe training bulletin apply. Definitions The following terms are used in this training bulletin: EVD Screening Tool Communication Centres Using DPCIII and OCC Utilize the Ebola Virus Disease Screening Tool for Paramedic Services document issued by the Emergency Health Services Branch (EHSB), Ministry of Health and Long-Term Care (MOHLTC), that contains questions designed to identify suspect patients. Communication Centres Using MPDSTM Utilize the Emerging Infectious Disease Surveillance Tool (SRI/MERS/EBOLA) that contains questions designed to identify suspect patients. Suspect Patient A suspect patient is a person in the community who has failed the EVD Screening Tool for Paramedic Services. A suspect patient becomes a person under investigation (PUI) when an infectious disease (ID) physician at a hospital (in consultation with the public health unit and Public Health Ontario Laboratories (PHOL) determines that the patient requires EVD testing. Paramedics shall transport suspect patients to the closest appropriate emergency department (ED) orto the nearest testing or treatment hospital as directed by the ambulance communication centre and following the bypass provisions described in this training bulletin and Chief Medical Officer of Health (CMOH) Ebola Virus Disease (EVD) Directive \#2 for Paramedic Services (Land and Air Ambulance)– Revised April 13, 2015. Person under Investigation A person under investigation (PUI) is a person: 1) Who has travel history to an EVD-affected area / country; 2) Who has at least one clinically compatible symptom of EVD; and 3) For whom EVD laboratory testing is recommended (based on a clinical assessment by an ID physician at a hospital in consultation with the public health unit and PHOL) . The patient remains a PUI until laboratory testing rules out or confirms EVD. Paramedic services shall transfer PUIs that are identified in a screening hospital to a testing or treatment hospi

FAQs

What are the key updates from version 2.0 to version 3.0?

The bulletin reorders EVD information ahead of FREI, adds a Definitions section, updates the EVD screening tool dated March 4, 2015, and modifies the screening algorithm and affected-country list. It also incorporates content from Questions & Answers V1.1 and clarifies documentation, transfer requests, and bypass/protocol guidance.

How does a person become a Person under Investigation (PUI)?

A PUI is a person with travel history to an EVD-affected area/country, at least one clinically compatible symptom, and for whom EVD laboratory testing is recommended by an infectious disease physician in consultation with the public health unit and PHOL. The patient remains a PUI until testing rules out or confirms EVD.

What transport rules apply to suspect patients and confirmed patients?

Suspect patients must be transported to the closest appropriate emergency department or nearest testing/treatment hospital, following bypass provisions and CMOH Directive #2. Confirmed patients must be transported only by designated paramedic services, using dedicated ambulances, including inter-facility transfers and airport-to-treatment transfers where applicable.

Oct 5, 2026

Uploaded by OmBimo