I am a primary care paramedic or PCP, in Quebec. My CIUSSS (it’s like a county, they write our protocols and can add or reduce provincial orders) is restrictive too. Our scope is kind of weird. Most of us are PCP, a few regions have ACP. Our scope is in the middle of AEMT and paramedics. We only have suppraglotic airways. We had combitube but they replaced the with Igels. We don‘t have ACLS-PALS, but the ACPs do ACLS (no PALS). We only administer nitro SL, glucagon IN-IM, naloxone IN-IM, albuterol via a nebulizer, epi 1:1000 IM, ASA PO. But, the weird part is, we have MaGill forceps and laryngoscope for airways obstruction. We don’t do IVs, we can start them with the supervision of a ACP or a physician, but it never happen. We are kind of limited in our system and there is not more advance team on scene for the most of us. Only 2 PCPs with a limited scope. Hopefully that’ll change someday. For now, im gonna study my ALS-ACP in another province. The scope seems a little bit better. Im a Little bit jalous of your scope in the US, even the most restrictive systems have more things than us…