[8] 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.

[10] In 2023, BCEHS announced Ascent Helicopters Ltd. was awarded a 10-year, $554.4 million (CAD) contract to provide air ambulance service.

CPGs are a combination of best practice and evidence-based medicine designed to better equip paramedics to make informed decisions in the field.

[15] Many paramedics seek additional training to achieve licence endorsements, which authorize them to perform medical interventions/treatments outside of their normal scope of practice.

[16] 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.

[17][18] 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.

EMA FRs may be endorsed to perform spinal motion restriction and emergency childbirth, utilize pulse oximeters, CO-oximeters, and glucometers, perform non-invasive blood pressure measurement, and administer the following medications: EMA FRs may also be endorsed to assist a patient with the administration of a medication.

EMRs are licensed to provide all Emergency Medical Assistant First Responder (EMA FR) designated services (and endorsements), in addition to occupational first aid, transportation, and soft tissue injury management.

[27] Further training is required (e.g. in primary care paramedicine) before transferring to a BCAS station in a larger population centre.

In addition to all services provided by EMRs, PCPs are licensed to insert extraglottic airway devices, perform semi-automatic external defibrillation, initiate peripheral IV access, administer isotonic crystalloid solutions, perform ETCO2 monitoring and administer various medications through IV, oral (PO), subcutaneous, sublingual, intramuscular, inhalation, intranasal, intraosseous and nebulization routes.

This includes the administration of anti-emetics, corticosteroids, anti-pyretics, procoagulants, anti-histamines, opiate and non-opiate analgesia, anti-nauseants, anti-cholinergics and vitamins.

[16] Advanced Care Paramedics (ACPs) are trained to handle more complex cases, including serious trauma and cardiac resuscitation.

[30] ACPs work in large population centres such as Vancouver, Victoria, Nanaimo, Kamloops, Kelowna, and Prince George.

[31][1] The Infant Transport Team (ITT) are specialized critical care paramedics who are specifically trained in management of perinatal, neonatal and pediatric patients.

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.

STCs provide advice via telephone and live video to activate self-care and alternative conveyance pathways for their patients across the province.

[34][35][36] Part-time and full-time PCP positions are considered separate internal job postings and are filled according to seniority.