Paramedic Training (PESP)
Midwives are training paramedics across Ontario in out-of-hospital emergency childbirth skills.
The AOM, in partnership with the Ontario Base Hospital Group (OBHG), developed the Paramedic Emergency Skills Program (PESP): Managing Birth Out-of-Hospital to reflect the evolving scope of paramedic practice, including the Emergency Childbirth Medical Directive and Advanced Life Support patient care standards.
The PESP is a full-day, in-person event with simulated emergency childbirth scenarios providing paramedics with the knowledge, evidence-based practice and hands-on skills to manage out-of-hospital births with confidence and competence. Emergency scenarios include:
- Uncomplicated childbirth, including nuchal cord management and placental delivery
- Denied or hidden pregnancy, and other at-risk populations with limited prenatal care
- Shoulder dystocia
- Breech birth
- Twin birth and multiple gestation
- Malpresentation and cord prolapse
- Postpartum hemorrhage
The PESP manual is not currently available for purchase in our online store. Please contact Pamela Lukas at firstname.lastname@example.org if you require purchasing.