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 |  Guides & Toolkits

The purpose of this document is to provide example clinical criteria to support referring and consulting physicians in having timely conversations related to care for Life or Limb threatened neonates and pregnant persons in labour, including when newborns are anticipated to need a higher level of care. The goal is to facilitate timely access to care and improved outcomes for these populations.

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 |  Guidelines & Standards

Critical Care Services Ontario (CCSO), now part of Ontario Health, and The Ministry of Health have updated the Life or Limb Policy (2025). The purpose of the Life or Limb Policy is to facilitate timely access and transfer of patients, who have an episode of time-sensitive, treatable, and critical illness (i.e., are life or limb threatened), to an appropriate level of acute care services for interventions that would improve patient outcomes (loss of life or limb is certain if transfer does not occur within 4 hours).

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