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health authority or hospital. Community paramedic classification is neither a licence nor a certification received from an external educational institution. Unlike previously mentioned levels of care, CPs are certified internally, and the services they provide are consistent with their pre-existing licence level. CPs are trained in community outreach and awareness, prevention care services for elderly patients, fall prevention assessments, scheduled and unscheduled home visits, and community public health promotion and education.
266:
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medical resource documents that guide paramedic practice in the province. TGs are a combination of best practice and evidence-based medicine designed to better equip paramedics to make informed decisions in the field. They provide valuable information regarding not only what paramedics should do for patients under certain circumstances, but also the decision of when, and if, that care is appropriate is dependent on their ability to decide the best course of action for the patient.
47:
278:, an airline based in Richmond, B.C., provides helicopters, pilots, and maintenance crews to their Sikorsky S76 helicopters contracted by BCEHS in Vancouver and Prince Rupert. Helijet has been servicing BCEHS since 1988, expanding to Prince Rupert in 2011. The Sikorsky air ambulances can carry up to 2 stretchers and 4 medical attendants and can travel a maximum distance of 200 miles (320 km), serving a 100 mile radius from their base.
565:
care to pediatric, neo-natal and high-risk obstetric patients. ITT paramedics work in close collaboration with practitioners at BC Children's & Women's
Hospital in Vancouver. The team functions as an extension of the neonatal/pediatric intensive care unit as well as the high risk labour and delivery areas of the hospital. Tertiary level critical care is delivered by the team to the bedside at any location in the province.
216:
38:
398:, insert and maintain airway devices (both oropharyngeal and nasopharyngeal), utilize suction devices, bag-valve-mask devices, and automatic and semi-automatic defibrillators, manage wounds (not requiring tissue puncture or indentation) and fractures, immobilize fractures, and lift/load and extricate/evacuate patients.
821:
Vancouver typically have the lowest entry threshold for full-time PCP positions. While this has traditionally meant working for in smaller towns to accumulate at least five years of part-time seniority, the required part-time seniority for accepting a full-time spot in
Vancouver is currently approaching zero months.
607:
Low Acuity
Patient Navigators are primary care paramedics who support and assess low acuity patients to refer them to alternate care and conveyance pathways. This includes taxi conveyance, UPCC referrals and the coordination of Link and Referral Unit responses provincially. They also support crews on
546:
Community
Paramedics (CPs) provide non-emergency and scheduled care to patients, often referred to colloquially as "clients," (although CP services are covered by provincial health insurance and come at little to no cost), as part of an integrated healthcare team, usually coordinated with a regional
337:
Paramedics in BC do not work under the license of a physician as they do in other provinces/jurisdictions. They hold their own licenses under the authority of the EMALB. Paramedic practitioners practicing in BC do not use protocols, instead, they utilize BCEHS Treatment
Guidelines (TGs). TGs are the
273:
BCEHS's air ambulance program consists of a fleet of ten fixed-wing aircraft with three each in
Vancouver and Kelowna, two in Prince George, and one each in Nanaimo and Fort St. John. Additional aircraft are chartered on an as-needed basis. In addition to its planes, BCEHS operates six dedicated air
820:
Part-time and full-time PCP positions are considered separate internal job postings and are filled according to seniority. Selection for full-time PCP positions is determined by total full-time seniority and then, if there are no more full-time PCP applicants, total part-time seniority. Stations in
598:
Secondary Triage
Clinicians are experienced primary care paramedics who conduct follow-up assessments on low acuity patients to determine the most appropriate care plan and response. STCs provide advice via telephone and live video to activate self-care and alternative conveyance pathways for their
564:
The Infant
Transport Team (ITT) are specialized critical care paramedics who are specifically trained in management of perinatal, neonatal and pediatric patients. Formerly, they were primary care paramedics (with many ACP Schedule 2 endorsements) with advanced training to provide emergency medical
497:
Primary Care
Paramedics (PCPs) are licensed to administer more advanced care. PCP is the most common level of care in BCAS. Primary care paramedic programs take between 9 weeks and 8 months to complete and issue program certificates. Unlike EMA FR or EMR education, PCP programs consist of multiple
353:
Selected ACPs are able to administer TNKase (if endorsed and authorized) after consultation with a transport advisor as part of the
Collaborative Heart Attack Management Program (CHAMP) Protocol for ST-Elevation Myocardial Infarction Pre-hospital Reperfusion. If this trial is successful, it can be
616:
Link and Referral Units are specialized primary care paramedic units that assess and transport low acuity patients in place of an emergency ambulance. The LARUs in service are directed to the most appropriate calls by the Low Acuity Patient Navigator and are supported by a Low Acuity Dispatcher.
589:
BC Ambulance has clinical consultation available for paramedics where paramedic specialists are enabled and empowered by the organization and by the medical directors to provide clinical, safety, and operational advice to paramedics. The pre-hospital environment poses many clinical challenges to
202:
in North America. The fleet consists of 658 ground ambulances operating from 183 stations across the province along with 283 non-transport support vehicles. Additionally, BCAS provides inter-facility patient transfer services in circumstances where a patient needs to be moved between health care
568:
They respond as an equally qualified team of two and sometimes take a physician with them for critically ill patients. When dispatched on street calls, these are targeted response ambulances that often assist or intervene when necessary, but can hand a more stable patient off to a layered or
450:
Upon completion of an approved EMR training program in British Columbia (~100 hours), students may apply for licensing with the Emergency Medical Assistants Licensing Board (EMALB). EMRs are licensed to provide all Emergency Medical Assistant First Responder (EMA FR) designated services (and
349:
Selected PCPs and ACPs are able to administer NA-1 (if endorsed and authorized) after consultation with a transport advisor as part of the FRONTIER stroke trial. If successful, this trial will change stroke management and highlight the essential role of prehospital care in stroke management.
227:
Prior to 1974, ambulance services in British Columbia were provided by a mixture of volunteer ambulance brigades, fire departments, funeral homes, and private operators. As a result of recommendations made by the Foulkes Commission's report on health care, titled "Health Security for British
1042:
1412:
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Upon completion of an approved EMA FR training program in British Columbia (ranging from 55 to 84 hours), students may apply for licensing with the Emergency Medical Assistants Licensing Board (EMALB). EMA FRs are licensed to provide scene and patient assessments, perform
1590:
357:
Paramedics have the ability to initiate critical patient bypasses to specialized centres with certain patient presentations and initiate alternate transport destinations to alleviate pressures and patient transport to emergency departments. Some of these include:
1186:
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practising paramedics. When faced with these challenges it may be appropriate to seek clarity with an appropriate senior clinician. Paramedics at all license levels can call CliniCall to speak with a paramedic specialist who will be either an ACP or a CCP.
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EMR is the lowest level of care employed by BCAS, and most EMRs work at rural ambulance stations on part-time shifts. Further training is required (e.g. in primary care paramedicine) before transferring to a BCAS station in a larger population centre.
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Paramedics qualified in British Columbia are broadly grouped as emergency medical assistants (EMAs) and are licensed by the Emergency Medical Assistants Licensing Board (EMALB), an independent government regulatory agency, under one of six categories:
341:
Many paramedics seek additional training to achieve licence endorsements, which authorize them to perform medical interventions/treatments outside of their normal scope of practice. The two most common licence endorsements are for EMRs to utilize
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Advanced Care Paramedics (ACPs) are trained to handle more complex cases, including serious trauma and cardiac resuscitation. ACPs work in large population centres such as Vancouver, Victoria, Nanaimo, Kamloops, Kelowna, and Prince George.
346:(otherwise known as Narcan or Naloxone) and a licence level referred to as PCP-IV, which authorizes Primary Care Paramedics to initiate and maintain an IV as well as administer certain medications and crystalloid fluids through an IV line.
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ambulance helicopters, two based in Vancouver, one in Nanaimo, one in Kamloops, one in Prince George, and one in Prince Rupert. BCEHS also utilizes approximately 35 pre-qualified charter carriers throughout British Columbia.
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Critical Care Paramedics (CCPs) provide the most sophisticated care, including transporting patients by air and ground. CCPs specialize in the transport of complex critically injured or ill patients to specialized centres.
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courses in each program and most programs are offered full time or at night. In addition to all services provided by EMRs, PCPs are licensed to administer extraglottic airway devices, medication administration through
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Emergency Medical Assistant First Responders (EMA FRs) are licensed Emergency Medical Assistants in British Columbia; however, they are not employed by BCAS. Most EMA FRs work as fire fighters/fire rescue.
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Columbians" released in 1973, the Government of British Columbia created the Emergency Health Services Commission (EHSC), which in turn created the BC Ambulance Service on July 4, 1974.
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EMRs may be further endorsed to maintain intravenous lines (without medications or blood products), perform chest auscultations, and administer the following medications:
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Wages are paid according to license qualification, years of service and supervisory status. Additional service pay is gained at 10, 15, 20, and 25 years of service.
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In 2023, BCEHS announced Ascent Helicopters Ltd. was awarded a 10-year, $ 554.4 million (CAD) contract to provide air ambulance service. Seven
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Paramedics from other provinces and countries who request to be licensed in British Columbia will need to apply to the EMALB for equivalency.
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Paramedic Specialists are licensed advanced care and critical care paramedics who are trained to handle disasters and mass casualty events.
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Casual/on-call staff receive $ 12/hour for on-call shifts until they are called to respond, at which point they receive their full wage.
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devices, and administration of anti-emetics, anti-nauseants, and vitamins through IV, oral, SL, SC, inhalation, or nebulization routes.
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co-responding PCP ambulance. The team currently consists of only 25 specially trained paramedics for the entire province.
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The Emergency Medical Assistants Licensing Board is an independent regulatory body responsible for licensing paramedics.
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BCAS is managed by British Columbia Emergency Health Services (BCEHS), which is under the jurisdiction of the
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Collective Agreement 2019 - 2022, The Ambulance Paramedics and Ambulance Dispatchers Bargaining Association.
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Emergency Medical Responders (EMRs) are licensed to "administer basic life-saving emergency medical care".
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endorsements), in addition to occupational first aid, transportation, and soft tissue injury management.
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Paul Vallely, Chief Quality, Planning and Coordination Officer and Interim Chief Paramedic Practice
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1125:"Parksville Helicopter Company Wins $ 544-million B.C. Air Ambulance Contract | Abbotsford News"
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All paramedics employed by BC Ambulance are required to obtain a Class 4 driver's licence.
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EMA FRs may also be endorsed to assist a patient with the administration of a medication.
415:(by either intramuscular auto-injector or prepared intranasal and sublingual preparations)
8:
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were expected to enter service in the fall of 2024, replacing existing Helijet service.
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1319:"Pilot project allows Kamloops paramedics to administer life-saving heart attack drug"
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and dispatchers. Dispatch centres are located in Kamloops, Vancouver, and Victoria.
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1281:"The Frontier Trial – Field Randomization of NA-1 Treatment In Early Responders"
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1035:"Emergency Medical Assistants Licensing Branch - Province of British Columbia"
945:"More ambulance services in rural and remote communities in the B.C. interior"
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routes. PCPs can receive endorsements for IV initiation, administration of IV
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1155:"Emergency Medical Assistants Licensing Board - Province of British Columbia"
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1690:"Two bucks an hour: pay for many BC paramedics stuck in a previous era"
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Leanne Heppell, Executive Vice President & Chief Ambulance Officer
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240:(PHSA). The operating budget for BCEHS in 2023 was $ 766 million.
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EMA FRs may be endorsed to perform spinal motion restriction and
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1300:"BC paramedics aim to improve stroke care with new drug trial"
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BCEHS critical care team on the helicopter pad on the top of
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that provides emergency medical response for the province of
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program that utilizes both fixed-wing and rotary aircraft.
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Medical and health organizations based in British Columbia
1437:"First Responder Licensing - Province of British Columbia"
427:
Anti-hypoglycemic agents (intramuscularly or intranasally)
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As of 2024, the BCAS employs 5040 part-time and full-time
593:
1755:
Ambulance Paramedics of BC, CUPE Local 873 Official Site
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the street by answering the provincial Low Acuity Line.
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British Columbia government departments and agencies
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833:, 9-1-1 call and dispatch centre for Southwestern BC
611:
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Opioid antagonists (intramuscularly or intranasally)
1406:"EMA Licensing Board Recognized Training Programs"
247:in British Columbia, including the transfer fleet.
1250:"First Responder and Paramedic Credentials in BC"
1215:
135:Kevin Smith, Chief Systems & Strategy Officer
1771:
1597:. Emergency Medical Assistants Licensing Board.
1225:"Medical Oversight & Clinical Consultation"
602:
288:
203:facilities for treatment. BCAS also operates a
442:
863:
371:Influenza like illness (ILI Clinical Pathway)
27:Ambulance service in British Columbia, Canada
534:acquisition, administration of non-invasive
1720:"BC Paramedics Paid Less Than Minimum Wage"
1674:: CS1 maint: numeric names: authors list (
385:Emergency Medical Assistant First Responder
1747:
1718:Ambulance Paramedics of British Columbia.
1652:"HEABC - Collective Agreement 2019 - 2022"
1541:"Paramedic Credentials and Levels of Care"
1490:"Paramedic Credentials and Levels of Care"
1389:"Licensing - Province of British Columbia"
572:
550:
198:. BCAS is one of the largest providers of
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132:Dr. Sandra Jenneson, Chief Medical Officer
45:
36:
1516:"Paramedic Occupation - Work Environment"
1465:"Emergency Medical Assistants Regulation"
1339:"Emergency Medical Assistants Regulation"
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354:extended to other areas of the province.
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1457:
559:
368:Palliative care (ASTAR Clinical Pathway)
264:
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1780:Government agencies established in 1974
1400:
1398:
581:
129:Jennie Helmer, Chief Operations Officer
14:
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1760:British Columbia Paramedic Association
594:Paramedic (Secondary) Triage Clinician
541:
260:
223:following the offloading of a patient.
1645:
1643:
1628:from the original on January 25, 2024
1535:
1533:
1531:
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1262:from the original on 4 September 2021
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1800:Emergency medical services in Canada
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1165:from the original on 24 January 2021
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896:from the original on 24 January 2021
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536:positive airway pressure ventilation
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269:BCEHS helicopters based in Vancouver
238:Provincial Health Services Authority
150:Provincial Health Services Authority
1513:
24:
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1237:
1203:ICBC Licence classes & types.
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1076:from the original on 17 April 2021
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180:British Columbia Ambulance Service
31:British Columbia Ambulance Service
25:
1811:
1734:
1000:from the original on July 5, 2016
988:"Map BCAS Stations Districts.pdf"
955:
854:
612:Link and Referral Unit Paramedics
1726:from the original on 2019-06-09.
1664:from the original on 2021-04-22.
1577:from the original on 2016-02-05.
1522:from the original on 2021-02-03.
1211:from the original on 2014-05-16.
1064:"Fact Sheet Air Ambulance Fleet"
878:from the original on 2016-07-05.
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1551:from the original on 2024-03-04
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1045:from the original on 2018-01-22
926:from the original on 2020-10-23
837:List of EMS Services in Ontario
377:Pediatric and obstetrics bypass
231:
1571:"Advanced Care Paramedic FAQs"
1569:BC Emergency Health Services.
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1026:
1012:
986:Shew, Frances (January 2014).
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599:patients across the province.
13:
1:
1765:BCAS 10-7 Association Society
847:
629:Hourly Wages (April 1, 2023)
396:cardiopulmonary resuscitation
1790:Ambulance services in Canada
1184:"Out-of-Province Applicants"
603:Low Acuity Patient Navigator
528:endotracheal tube intubation
289:Licensing and qualifications
120:Provincial agency executives
7:
1608:"APADBA Wage Schedule 2023"
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458:Anti-anginal agents (e.g.,
443:Emergency Medical Responder
322:Infant Transport Team (ITT)
299:Emergency medical responder
10:
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283:Leonardo AW169 helicopters
221:Vancouver General Hospital
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200:emergency medical services
79:Victoria, British Columbia
54:Provincial agency overview
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465:Analgesic agents (e.g.,
1617:. Apr 1, 2023. p.
1588:"Annual Report 2019/20"
1096:"Air Medical Transport"
949:BCEHS Corporate Website
573:Critical Care Paramedic
551:Advanced Care Paramedic
317:Critical care paramedic
311:Advanced care paramedic
916:"BC Ambulance Service"
493:Primary Care Paramedic
484:(inhaled or nebulized)
380:Sobering centres/detox
305:Primary care paramedic
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1205:"Commercial Licences"
1153:Health, Ministry of.
1033:Health, Ministry of.
1020:"Dispatch Operations"
560:Infant Transport Team
268:
218:
1159:admin.moh.hnet.bc.ca
582:Paramedic Specialist
434:Acetylsalicylic acid
403:emergency childbirth
344:narcotic antagonists
101:Minister responsible
96:$ 766 million (2023)
18:BC Ambulance Service
864:Map BCAS Stations.
630:
542:Community Paramedic
472:Platelet inhibitors
418:Pro-coagulants and
374:Major trauma bypass
261:Air ambulance fleet
88:6500 (January 2024)
32:
1593:2023-11-29 at the
1324:2019-12-30 at the
1305:2020-12-04 at the
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1230:2020-10-18 at the
1189:2023-10-02 at the
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621:Wages and benefits
518:, inhalation, and
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245:ambulance stations
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205:medical evacuation
30:
963:"BCEHS factsheet"
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420:antifibrinolytics
333:Clinical practice
188:ambulance service
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146:Parent department
16:(Redirected from
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866:"BCAS Stations"
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634:Experience pay
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482:Bronchodilators
478:(intramuscular)
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430:Oral analgesics
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1364:"Career Paths"
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1545:www.bcehs.ca
1544:
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520:nebulization
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232:Organization
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75:Headquarters
67:Jurisdiction
62:July 1, 1974
1266:29 December
1169:29 December
1100:Helijet.com
1080:29 December
900:29 December
476:Epinephrine
413:Epinephrine
1774:Categories
1704:2024-06-13
1555:2024-06-13
1500:2024-06-13
1475:2024-06-13
1447:2024-06-13
1422:2024-06-13
1374:2024-06-13
1349:2024-06-13
1139:2023-07-28
1110:2021-04-27
1049:2018-01-21
930:2020-10-17
848:References
512:sublingual
252:paramedics
111:Adrian Dix
1514:Work BC.
1004:April 29,
85:Employees
1724:Archived
1698:Archived
1670:cite web
1659:Archived
1632:June 13,
1623:Archived
1591:Archived
1575:Archived
1549:Archived
1520:Archived
1494:Archived
1469:Archived
1441:Archived
1413:Archived
1368:Archived
1343:Archived
1322:Archived
1303:Archived
1284:Archived
1257:Archived
1255:. BCAS.
1228:Archived
1209:Archived
1187:Archived
1163:Archived
1133:Archived
1104:Archived
1071:Archived
1069:. BCAS.
1043:Archived
995:Archived
924:Archived
894:Archived
892:. BCAS.
873:Archived
825:See also
811:$ 48.11
808:$ 42.58
805:$ 59.87
802:$ 59.87
799:$ 52.62
796:$ 43.13
793:$ 36.47
790:5 Years
785:$ 47.11
782:$ 41.58
779:$ 58.87
776:$ 58.87
773:$ 51.62
770:$ 42.13
767:$ 36.47
764:4 Years
759:$ 46.11
756:$ 40.58
753:$ 57.87
750:$ 57.87
747:$ 50.62
744:$ 41.13
741:$ 36.47
738:3 Years
733:$ 42.49
730:$ 36.99
727:$ 54.91
724:$ 54.91
721:$ 47.65
718:$ 37.59
715:$ 33.96
712:2 Years
707:$ 39.37
704:$ 33.85
701:$ 52.08
698:$ 52.08
695:$ 44.84
692:$ 34.55
689:$ 31.69
681:$ 33.22
678:$ 31.65
675:$ 49.77
672:$ 49.77
669:$ 42.53
666:$ 32.30
663:$ 29.48
186:) is an
686:1 Year
640:PCP-IV
276:Helijet
211:History
156:Website
831:E-Comm
506:(PO),
196:Canada
163:.bcehs
59:Formed
1662:(PDF)
1655:(PDF)
1626:(PDF)
1611:(PDF)
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869:(PDF)
660:Base
652:EMCT
319:(CCP)
313:(ACP)
307:(PCP)
301:(EMR)
1676:link
1634:2024
1268:2020
1171:2020
1082:2020
1006:2017
902:2020
655:EMD
649:CCP
646:ITT
643:ACP
637:EMR
504:oral
184:BCAS
178:The
532:ECG
165:.ca
161:www
108:Hon
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