Paramedic Services

Emergency Services Commitment Policy

The Paramedic Services of the United Counties of Prescott and Russell are dedicated to ensuring the highest standard of emergency medical care for their communities. We are committed to:

  • Providing an advanced or primary care response for every emergency call within our service area.
  • Delivering professional, timely, and compassionate care, tailored to the needs of our patients.
  • Ensuring the safety and well-being of our patients, our paramedics, and our communities.
  • Continuously improving our practices through training, innovation, and collaboration with health and emergency services partners.

This commitment reflects our unwavering dedication to the health and safety of the people we serve.

Responsibilities

  • Ensure the quality and support of services delivery in accordance with the standards and provisions of the Ambulance Act and the emergency medical services regulations.
  • Ensure operational and strategic planning of the emergency medical services. 
  • Ensure the assessment, medical treatment, and transportation of patients by ambulance to hospital or other health care facilities.
  • Offer advanced and primary pre-hospital emergency care.
  • Ensure the growth and professional development of paramedics.
  • Follow up on requests for access to patient records.

Financing

The province of Ontario transferred the financial and operational responsibilities of the land ambulance services to the United Counties of Prescott and Russell on January 1, 2001. The cost of the services is equally shared between the provincial and the regional governments.

Call Management

The Emergency Services of the United Counties of Prescott and Russell have nine ambulance stations and posts and over 120 employees. 

How Are Calls distributed?

9-1-1 calls are directed to our Central Ambulance Communication Centre (CACC), which is located in Ottawa and managed by the City of Ottawa, under an agreement overseen by the Ministry of Health. 

When a dispatcher receives a 9-1-1 call, they will ask several questions to match available paramedical resources to your medical condition and ensure that life-threatening patients receive immediate care. It is important that you stay in communication with the dispatcher and listen carefully to the instructions they give you, including confirmation that an ambulance is on its way.

Workforce Breakdown

Our paramedics are on duty 24 hours a day to ensure a reasonable response time, despite the vast size of the territory we cover. Have you ever seen ambulances parked at certain locations and waiting? These strategic locations are established to cover a larger territory, because other ambulances are busy at the scene of an emergency and therefore unable to respond to new calls.

Ambulances are deployed out of four stations. These stations are in Embrun, Hawkesbury, Plantagenet, and Rockland. We also have five waiting stations located in Alfred, Bourget, Casselman, Vankleek Hill, and St-Isidore.

Emergency Vehicles Fleet

Our emergency vehicles fleet consists of several different types of vehicle and each has a different function.

Emergency Response Vehicles

Rapid deployment vehicles are equipped with all necessary emergency medical equipment, allowing them to respond to emergencies when they are nearby or when requested by a traditional paramedics team.

In addition, these rapid deployment vehicles are equipped with a device called the AUTOPULSE. This tool is used to perform chest compressions on a patient in cardiac arrest. This device delivers chest compressions continuously and without loss of intensity, unlike those performed manually by a human, which may vary in quality or be interrupted.

Ambulances

These vehicles are used to transport patients during a medical emergency or an inter-hospital emergency transfer. 

Superintendent Vehicles

These vehicle are used for daily operations supervision. The Superintendents visit teams in stations, give assistance to teams on emergency call, ensure the proper functioning of the Emergency Services in the region, and take charge of an emergency if the situation requires it.

Type of Calls

In accordance with the Ontario Ambulance Act, Regulation 257/00, the United Counties of Prescott and Russell, more precisely their Emergency Services, offer primary and advanced paramedic services.

Our paramedics respond to various medical calls and inter-hospital transfers.

Types of Priorities

  • Green: Non-urgent, no immediate threat to life. Care can be safely deferred.
  • Yellow: Non-urgent, no immediate threat to life.
  • Orange: Urgent, but no immediate threat to life.
  • Red: Emergent, potentially life-threatening. Requires prompt medical attention.
  • Purple: Emergent and immediate life-threatening condition. Requires immediate intervention.
  • Incident Stanby: Crew positioned near an incident (for example, fire or police action), no confirmed patients yet.
Performance Plan

Ontario Regulation 257/00 requires service delivery agents to adopt a Response Time Performance Plan for cardiac arrest and responses under the Canadian Triage and Acuity Scale (CTAS) for emergency departments. 

The CTAS is a five-level triage scale, the most important of which is level 1 (resuscitation) and the least important is level 5 (non-urgent). This scale is used to classify patients according to their degree of acuity and specify their care needs, based primarily on the optimal time to medical intervention.

  • CTAS Level 1: CTAS level assigned for resuscitation.
  • CTAS Level 2: CTAS level assigned for emergent.
  • CTAS Level 3: CTAS level assigned for urgent.
  • CTAS Level 4: CTAS level assigned for less urgent.
  • CTAS Level 5: CTAS level assigned for non-urgent.

The Land Ambulance Response Time Performance Plan (2025) as been approved by the Council of the United Counties of Prescott and Russell.

Call: Cardiac Arrest

  • Defibrillator response to patient of six (6) minutes as set by the Ontario Ministry of Long-Term Care.
  • Percentage of target time reached at 40%.

Call: Canadian Triage and Acuity Scale 1 (immediately life-threatening)

  • Paramedic response of eight (8) minutes as set by the Ontario Ministry of  Long-Term Care.
  • Percentage of target time reached at 48%.

Call: Canadian Triage and Acuity Scale 2

  • Paramedic response of 16 minutes as set by the United Counties of Prescott and Russell.
  • Percentage of target time reached at 90%.

Call: Canadian Triage and Acuity Scale 3

  • Paramedic response of 15 minutes as set by the United Counties of Prescott and Russell.
  • Percentage of target time reached at 70%.

Call: Canadian Triage and Acuity Scale 4

  • Paramedic response of 15 minutes as set by the United Counties of Prescott and Russell.
  • Percentage of target time reached at 70%.

Call: Canadian Triage and Acuity Scale 5

  • Paramedic response of 15 minutes as set by the United Counties of Prescott and Russell.
  • Percentage of target time reached at 70%.

The Type of Provider and Response Time Target is equivalent to the time the paramedic was notified of call and the time to arrive on site.

Other Services
The aim of these services is to assist patients as quickly as possible, providing them with the necessary care and with access to the appropriate hospital, depending on their condition and the capacity of the institutions.

In order to improve the quality of our services to the patients, our Emergency Services offer two levels of service: primary care paramedic and advanced care paramedic.

Our paramedics can perform authorized medical procedures and delegated medical acts to ensure rapid treatment for people in distress.

Pre-Hospital Emergency Services

Advanced care pre-hospital emergency services are essential in a rural area like the United Counties of Prescott and Russell where distances to get to a hospital can be great.

In order to offer our citizens the best possible services within a defined response time, the paramedics of the United Counties of Prescott and Russell provide advanced care that would normally only be offered in the emergency room.

Delegate Medical Acts

Paramedics practice delegated medical acts, which means that under the direction of a physician designated by our base hospital, they can provide medical care in a pre-hospital environment within established protocols. In particular, they can operate defibrillators, perform intubations, insert intravenous fluids and administer medication to patients suffering from heart failure, detect respiratory difficulties, manage diabetic problems, manage a cardiac arrest and control pain.

Become a paramedic

If the paramedic profession interests you, please check with the colleges and universities in your area for information on courses and requirements.