[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-506424-105":59,"doc-detail-506424-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","training-bulletin-ebola-virus-disease-issue-114-version-40","Training Bulletin - Ebola Virus Disease - Issue 114 - Version 4.0","","Training Bulletin 114 - Version 4.0 provides updated, directive-based guidance for Ontario paramedic services during Ebola Virus Disease (EVD) response. It explains the revisions introduced since Version 3.0, including updated MAC recommendations for paramedic medical procedures and medication administration for suspect and confirmed EVD and PUI cases. The bulletin defines suspect EVD patients and persons under investigation, outlines screening-hospital concepts and transport bypass provisions, and consolidates key topics such as PPE, point-of-care assessment, and hospital triage toward safe patient care and reduced transmission risk.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/training-bulletin-ebola-virus-disease-issue-114-version-40/506424/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/training-bulletin-ebola-virus-disease-issue-114-version-40/506424.png","ImageObject",300,407,{"name":92,"@type":93},"Fans","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-10-05",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the purpose of Training Bulletin 114 - Version 4.0?","Question",{"text":112,"@type":113},"It provides updated recommendations for Ontario paramedic medical procedures and medication administration to protect paramedics and patients and reduce EVD transmission risk.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How does the bulletin define a suspect EVD patient and a PUI?",{"text":117,"@type":113},"A suspect patient is someone who fails the EVD screening tool. A PUI is a person with travel history to an EVD-affected area, compatible clinical symptoms, and whose EVD testing is recommended after clinical assessment.",{"name":119,"@type":110,"acceptedAnswer":120},"What key changes were introduced in Version 4.0 compared with Version 3.0?",{"text":121,"@type":113},"The bulletin summarizes updated MAC recommendations for suspect and confirmed EVD/PUI patients, plus modifications to treatment/testing hospital lists and the definition of Screening Hospital, aligned to the updated three-tier approach dated August 27, 2015.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},506424,1791405545,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},5909892330395,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Training Bulletin  \nEbola Virus Disease  \nIssue Number 114-Version 4.0  \nSeptember 2015  \nEmergency Health Services Branch Ministry of Health and Long-Term Care  \nTo all users of this publication:  \nThe information contained herein has been carefully compiled and is believed to be accurate at date of publication. Freedom from error, however, cannot be guaranteed.  \nFor further information on Training Bulletin 114 – Ebola Virus Disease, please contact:  \nEmergency Health Services Branch Ministry of Health and Long-Term Care 5700 Yonge Street, 6th Floor  \nToronto, ON M2M 4K5 416-327-7900  \n© Queen’s Printer for Ontario, 2015  \nDocument Control  \n\n| Version Number (status) | Date of Issue | Brief Description of Change |\n| --- | --- | --- |\n| 1.0 | October 09, 2014 | Finalized version |\n| 1.1 | October 14, 2014 | Final version with updated hyperlinks |\n| 2.0 | October 24, 2014 | \u003Cbr>Finalized version with document renaming, introduction of updated dispatch screening questions and specific PPE for suspected or confirmed cases |\n| 2.1 | October 24, 2014 | Finalized version with a correction to PPE specifics |\n| 3.0 | April 20, 2015 | Finalized version with detailed updates as per Directive \\#3 released on April 13, 2015 |\n| 4.0 | September 17, 2015 | Finalized version in updated format as per the Living Standard Project, updated MAC recommendations and updated information from CMOH. |\n\nSummary of Changes  \nThe following changes are the only changes that have been made between version 3.0 and 4.0:  \n􀁸 Modifications to the Recommendations from MAC for the Paramedic Medical Proceduresand Medication Administration for suspect EVD and PUI patients and confirmed EVD patients.  \n􀁸 Updated list of treatment and testing hospital lists and a modified definition of Screening Hospital as August 27, 2015 release of A Three-Tier Approach to Ebola Virus Disease Management in Ontario.  \nThis page is intentionally left blank  \nTable of Contents  \nEbola Virus Disease ............................................................................................................. 7  \nIntroduction ..................................................................................................................................... 8  \nDefinitions....................................................................................................................................... 8  \nParamedic Services Screening Tool.............................................................................................. 11  \nPoint of Care Assessment ............................................................................................................. 12  \nPersonal Protective Equipment ..................................................................................................... 13  \nMAC Recommendations............................................................................................................... 13  \nTransportation of Patients from Pre-Hospital Setting to Emergency Department ....................... 16  \nConclusion .................................................................................................................................... 20  \nAppendix A – A Three-Tier Approach to Ebola Virus Disease Management in Ontario.............................................................................................................................................. 21  \nTraining Bulletin – Ebola Virus Disease  \nIssue Number 114 – Version 4.0  \nEbola Virus Disease  \nEbola Virus Disease Training Bulletin  \nIntroduction  \nIn response to the widespread transmission of Ebola Virus Disease (EVD) outbreak in several countries in West Africa, the Chief Medical Officer of Health (CMOH) issued the revised Ebola Virus Disease Directive \\#2 for Paramedic Services (Land and Air Ambulance) on April 13, 2015. The Directive is available [at](at www.ontario.ca/ebola)[ ](at www.ontario.ca/ebola)[www.ontario.ca/ebola](at www.ontario.ca/ebola)  \nThe Directi","cbCaiaA7hPnCgOGl","https://ap.wps.com/l/cbCaiaA7hPnCgOGl","pdf",270501,26,"English","# Ebola Virus Disease\n## Introduction\n## Definitions\n## Paramedic Services Screening Tool\n## Point of Care Assessment\n## Personal Protective Equipment\n## MAC Recommendations\n## Transportation of Patients from Pre-Hospital Setting to Emergency Department\n## Conclusion\n## Appendix A – A Three-Tier Approach to Ebola Virus Disease Management in Ontario","[{\"question\":\"What is the purpose of Training Bulletin 114 - Version 4.0?\",\"answer\":\"It provides updated recommendations for Ontario paramedic medical procedures and medication administration to protect paramedics and patients and reduce EVD transmission risk.\"},{\"question\":\"How does the bulletin define a suspect EVD patient and a PUI?\",\"answer\":\"A suspect patient is someone who fails the EVD screening tool. A PUI is a person with travel history to an EVD-affected area, compatible clinical symptoms, and whose EVD testing is recommended after clinical assessment.\"},{\"question\":\"What key changes were introduced in Version 4.0 compared with Version 3.0?\",\"answer\":\"The bulletin summarizes updated MAC recommendations for suspect and confirmed EVD/PUI patients, plus modifications to treatment/testing hospital lists and the definition of Screening Hospital, aligned to the updated three-tier approach dated August 27, 2015.\"}]","Training Bulletin - Ebola Virus Disease - Issue 114 - Version 4.0 | PDF",1791165175,66]