[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-505931-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-505931-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","life-or-limb-policy-implementation-guide-supplemental-resource-purpose-key-stakeholders","Life or Limb Policy Implementation Guide - Supplemental Resource - Purpose & Key Stakeholders","","Implementation guide for hospitals, clinicians, medical transport providers, and system partners to interpret and operationalize Ontario’s Life or Limb Policy. Defines minimum expectations for timely, appropriate care when patients with life- or limb-threatened, treatable time-sensitive critical illness present at one Ontario hospital but need specific treatment at another. Clarifies central accountabilities for identification & consultation, transfer, and repatriation, and explains coordination through CritiCall Ontario, including escalation pathways and quality improvement elements.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/life-or-limb-policy-implementation-guide-supplemental-resource-purpose-key-stakeholders/505931/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/life-or-limb-policy-implementation-guide-supplemental-resource-purpose-key-stakeholders/505931.png","ImageObject",300,407,{"name":42,"@type":43},"Fans","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-07","2026-10-04",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",10,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What does the Life or Limb Policy require providers to do?","Question",{"text":63,"@type":64},"The Policy sets minimum expectations to ensure people with treatable, time-sensitive critical illness threats to life or limb receive timely and appropriate care. If specific treatment is needed at another hospital, access is provided at the closest most-appropriate hospital within a best-effort window of 4 hours.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How does a case qualify as “confirmed Life or Limb”?",{"text":68,"@type":64},"A threat is confirmed when it is treatable with interventions within the standard of care, time-sensitive such that critical threats are mitigated with treatment within 4 hours, and critical because it threatens life or minimally essential organ/system function. This also includes threats related to pregnant persons and/or in-utero transfers anticipating higher-level newborn care.",{"name":70,"@type":61,"acceptedAnswer":71},"Who coordinates consultations and transport for Life or Limb patients?",{"text":72,"@type":64},"All consultations for Life or Limb cases should be coordinated through CritiCall Ontario. For confirmed Life or Limb patients requiring transfer, CritiCall facilitates coordination of transport.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},505931,1791294100,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":55,"slug":125},"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":55,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":144,"preview_page_count":4},5909892330395,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Implementation Guide  \nLife or Limb Policy Supplemental Resource  \nTable of Contents  \nPurpose ............................................................................................................................................. 3  \nWhat is the Life or Limb Policy?......................................................................................................... 3  \nKey Stakeholders............................................................................................................................... 4  \nReferring Physicians ................................................................................................................................... 4  \nConsulting Physicians ................................................................................................................................. 4  \nHospital Administration ............................................................................................................................. 4  \nCritiCall Ontario ......................................................................................................................................... 5  \nTransport Medicine Providers .................................................................................................................... 5  \nOntario Health ........................................................................................................................................... 5  \nManaging a Life or Limb Case ............................................................................................................ 6  \n1. Identification and Consultation .......................................................................................................... 6  \n2. Transfer of Patient to the Receiving Hospital ..................................................................................... 7  \n3. Repatriation to Closest Most-appropriate Hospital ............................................................................ 7  \nSpecial Populations: Pregnant Persons and Neonates ....................................................................... 8  \nEscalation Pathways .......................................................................................................................... 8  \nReal-time Escalation................................................................................................................................... 8  \nEscalation for Delayed Repatriation ........................................................................................................... 9  \nQuality Improvement ........................................................................................................................ 9  \nAdditional Resources......................................................................................................................... 9  \nPurpose  \nThis implementation guide supports hospitals, clinicians, medical transport providers, and other system partners in interpreting and operationalizing Ontario’s Life or Limb Policy (the Policy) . An overview of the Policy purpose, stakeholder roles and responsibilities, and new escalation pathways are provided to foster consistency in implementation in hospitals and across regions.  \nWhat is the Life or Limb Policy?  \nOntario’s Life or Limb Policy outlines the minimum expectations of health service providers (e.g., hospitals, physicians) to ensure that persons with a Life or Limb threatened illness receive timely and appropriate care. The Life or Limb Policy applies to all persons in Ontario. This includes adults, children and infants. The Policy states that:  \n“Persons with an episode of treatable time-sensitive critical illness (i.e., threats to Life or Limb) presenting at one Ontario hospital who would benefit from specific treatment at another hospital, will have access to that treatment at the closest most-appropriate hospital within a best effort window of 4 hours.”  \nA t","cbCaivuvAHUeWpcM","https://ap.wps.com/l/cbCaivuvAHUeWpcM","pdf",477800,"English","# Purpose\n# What is the Life or Limb Policy?\n# Key Stakeholders\n## Referring Physicians\n## Consulting Physicians\n## Hospital Administration\n## CritiCall Ontario\n## Transport Medicine Providers\n## Ontario Health\n# Managing a Life or Limb Case\n## 1. Identification and Consultation\n## 2. Transfer of Patient to the Receiving Hospital\n## 3. Repatriation to Closest Most-appropriate Hospital\n# Special Populations: Pregnant Persons and Neonates\n# Escalation Pathways\n## Real-time Escalation\n## Escalation for Delayed Repatriation\n# Quality Improvement\n# Additional Resources","[{\"question\":\"What does the Life or Limb Policy require providers to do?\",\"answer\":\"The Policy sets minimum expectations to ensure people with treatable, time-sensitive critical illness threats to life or limb receive timely and appropriate care. If specific treatment is needed at another hospital, access is provided at the closest most-appropriate hospital within a best-effort window of 4 hours.\"},{\"question\":\"How does a case qualify as “confirmed Life or Limb”?\",\"answer\":\"A threat is confirmed when it is treatable with interventions within the standard of care, time-sensitive such that critical threats are mitigated with treatment within 4 hours, and critical because it threatens life or minimally essential organ/system function. This also includes threats related to pregnant persons and/or in-utero transfers anticipating higher-level newborn care.\"},{\"question\":\"Who coordinates consultations and transport for Life or Limb patients?\",\"answer\":\"All consultations for Life or Limb cases should be coordinated through CritiCall Ontario. For confirmed Life or Limb patients requiring transfer, CritiCall facilitates coordination of transport.\"}]","Life or Limb Policy Implementation Guide - Supplemental Resource - Purpose & Key Stakeholders | PDF",1791155997,25]