Built for RPPEO Paramedics

The directive app
Ontario paramedics deserve

MDAi is a next-generation clinical reference and training platform built from the ground up for field use. Offline. Intelligent. Always current with ALS PCS v5.4.

Request a demo → See what's different
ALS PCS v5.4 · In force June 2, 2025 · Companion document integrated
ALS PCS v5.4
📞 Patch BHP
Directive
Flowchart
Dose Calc
"amiodarone dose cardiac arrest"
🎤
Medical Cardiac Arrest ACP
Amiodarone — initial300mg IV/IO
Repeat dose150mg
Interval4 min
Max doses2
🔴 Mandatory patch point
Patch to BHP to consider Medical TOR
📞 Patch BHP ›
📖 Clinical guidance
Amiodarone OR lidocaine — not both
Administer by infusion over 10 min
Pre-arrival CPR does not count toward 20 min TOR timer
📴
Fully offline
Works without signal
🎤
Voice search
Ask in plain language
The problem with the current app

Paramedics deserve better than a 1.5-star app on dead technology

The current officially endorsed clinical reference app for Ontario paramedics was built on Xamarin Forms — a framework retired by Microsoft in 2024. It requires a live internet connection to function, was last updated in July 2024, and doesn't reflect the ALS PCS 5.4 directives that came into force June 2, 2025.

1.5★
Average rating
149 verified reviews
0
Local content stored
requires live internet
5.4
ALS PCS version
not reflected in current app
Constantly updating and downloading, especially when you really need it
Verified user review
The fact it requires a constant data connection is a lack of forward thinking for the end-user
Verified user review
Still wish it wasn't just an exact copy of the protocol book and was more user friendly
Verified user review
You're never notified of changes... missing a lot of key changes
Verified user review
What makes MDAi different

Built for the field.
Not the boardroom.

Every design decision in MDAi was made by a 25-year ACP who has used — and been failed by — the current tools. Here's what's different.

📴
Offline-first architecture
All directive content is stored locally on the device. Full functionality with zero cellular signal — critical for rural and remote operations across eastern Ontario.
✓ MDAi Current app RPPEO website
🎤
Voice search
Say "give me the dosage for Amiodarone in cardiac arrest" and the directive surfaces instantly. No navigation, no menus — works with gloves on and works offline.
✓ MDAi Current app ParaGuide
NEW 5.4
📋
ALS PCS 5.4 — current from day one
MDAi launched with full ALS PCS 5.4 content on June 2, 2025 — including the three new directives the current app is already missing.
✓ MDAi Current app (5.3)
📖
Companion document integrated
The OBHG companion document is merged directly into each directive — not buried in a separate PDF. The clinical context paramedics need is exactly where they need it.
✓ MDAi Current app
📞
BHP patch button
Mandatory patch points are highlighted prominently. A two-tap button pre-populates the BHP patch line — open the dialer and call in under three seconds.
✓ MDAi Current app ParaGuide
🧮
Pediatric dose calculator
Enter patient weight and every weight-based drug calculates instantly — epinephrine, amiodarone, midazolam, naloxone, dextrose, and more. Capped at directive maximums.
✓ MDAi Current app
Feature comparison

MDAi vs. the current landscape

Feature
MDAi
Current OPCG
ParaGuide
Offline — works without signalFull functionality on scene
✓
✗
✓
ALS PCS 5.4 currentIn force June 2, 2025
✓
✗
~
Voice search / AI queryAsk in plain language
✓
✗
✗
Companion document integratedClinical guidance in each directive
✓
✗
✓
BHP patch buttonTwo-tap call from within directive
✓
✗
✗
Pediatric dose calculatorWeight-based, capped at maximums
✓
✗
✓
Integrated training moduleBuilt from directive content
✓
✗
✗
Officially endorsedRPPEO / OBHG affiliated
Goal
✓
✗
Built on current technologyiOS + Android, maintained actively
✓
✗ Deprecated
✓
See it in action

Three seconds to any answer

From the moment you need a directive to the moment you have the answer — voice search, structured dosing, mandatory patch alerts, and companion document guidance in a single unified interface.

Voice query — say what you need, receive the directive instantly
Structured dosing — age-bracketed, route-specific, concentration-labelled
Mandatory patch alerts — impossible to miss, two-tap to call BHP
Companion guidance — clinical context from the OBHG companion document
Request an in-person demo →
Voice search
🎤
Listening...
"Amiodarone dose cardiac arrest"
MDAi
ALS PCS v5.4
Medical Cardiac Arrest — ACP
Amiodarone initial
300mg IV/IO
Repeat dose
150mg
Interval
4 min
Max doses
2
🔴 Mandatory patch point
Patch BHP for Medical TOR consideration
📞 Patch BHP ›
📖 Clinical guidance
Amiodarone OR lidocaine — not both. Administer by IV infusion over 10 min. Pre-arrival CPR does not count toward 20-min TOR timer.
Training module
A BHP patch is required before administering adenosine to a patient in narrow complex regular tachycardia.
✗ True
✓ False — No patch required for narrow complex SVT
📘 No patch needed for narrow complex regular tachycardia + adenosine. Patch required for wide complex or cardioversion only.
Question 4 of 10 3 / 3 correct 🔥
Training module

The only directive app that teaches as well as it references

MDAi includes a fully integrated training platform built from the ALS PCS 5.4 and companion document content. No connectivity required. Questions shuffle every session. The system tracks your weak spots and serves them back more frequently.

Replacing the need to log into the RPPEO website for continuing education — with something faster, smarter, and always in your pocket.

⚡
Quick Drill
10 randomized questions across all directives
📋
Full Exam
25 questions — certification prep
🆕
New in 5.4
Targeted questions on version 5.4 changes
🎯
Weak Spots
Adaptive — focuses on your lowest areas
75+
Questions at launch — growing with every directive update
Multiple choice True / False Fill in the blank Clinical scenarios
All questions generated from and verified against ALS PCS v5.4 and the OBHG companion document. Answer options shuffle every session.
Built for RPPEO

Designed in partnership with the paramedics who use it

MDAi was built by an ACP with 25 years of field experience in the RPPEO region. Every feature decision reflects real clinical scenarios — not assumptions from a software team.

The goal is simple: to become the officially endorsed clinical reference and training platform for RPPEO paramedics, and then expand that endorsement to all 12 Ontario base hospital programs.

Talk to us →
🏥
RPPEO launch partner
Built specifically for the RPPEO region first. Each Ontario base hospital program expansion is a content configuration, not a rebuild.
🔄
Automatic directive updates
When a new ALS PCS version is published, content updates silently in the background. Paramedics are never using outdated directives.
🔒
No data collection
All notes, bookmarks, and training progress are stored locally on the device. No accounts, no cloud sync, no personal data transmitted.
📱
iOS and Android
Single codebase targeting both platforms. No preference between iPhone and Android users — all paramedics covered.
Get in touch

Ready to see MDAi
in person?

If you're with RPPEO, an Ontario base hospital program, or a paramedic service interested in learning more, we'd love to show you a live demo. No slides — just the app, in your hands.

✉ Request a demo
Or email directly: hwesley@mdaihealth.com · Wesley Holman, ACP · 613-217-1374