Ontario Paramedic Pharmacology
Like Duolingo, but for Ontario Paramedic Pharmacology. Tomo turns the whole topic into a game you play five minutes a day, until it actually sticks.
For the part of you with thirty open tabs that never became anything.
Free during early access · No credit card · iPhone & Android

Key ideas in Ontario Paramedic Pharmacology
- ASA inhibits Thromboxane A2 to stop platelets from sticking together
- ASA is an antiplatelet agent, not a thrombolytic or 'clot buster'
- Chewing increases the surface area for rapid buccal and gastric absorption
- Chewing achieves therapeutic plasma levels significantly faster than swallowing
- Active internal bleeding is a hard stop for ASA administration
- ASA is an antiplatelet agent, not a thrombolytic
- Hypersensitivity to NSAIDs/ASA is an absolute contraindication
- Chronic conditions like past ulcers require a risk-benefit clinical judgment
- Chewing increases surface area for rapid absorption
- Other NSAIDs can competitively block ASA from the COX-1 binding site
- ASA must be prioritized in ACS because its platelet inhibition is irreversible
- Distinguishing between absolute and relative contraindications for ASA
- Prioritizing ASA administration when other NSAIDs are present
- Diabetics and elderly patients often present with dyspnea or 'silent' MI
- Unexplained diaphoresis and nausea can be the primary symptoms of ACS
- Atypical pain in the jaw, neck, or back warrants ASA in the right clinical context
You've tried the other tabs
Thirty open tabs. Four facts you actually kept.
You watched. You nodded. By Sunday it was gone.
One answer, then back to scrolling.
Eight weeks. You meant to finish. You didn't.
Tomo gives Ontario Paramedic Pharmacology the Duolingo treatment: levels, streaks, and quick quizzes that test what you just learned. That game loop is what the tabs above never had, so it's the one you actually finish.
Here's what playing it feels like
A real question from this course. Take your best guess.
If a patient has a fully formed clot in their coronary artery, what can ASA do for that specific blockage?
Get it right to open this lesson and 78 more in the app.
Where Ontario Paramedic Pharmacology takes you
Master the clinical application, mechanisms, and decision-making for medications within the Ontario Primary Care Paramedic scope of practice. Move beyond basic protocols to understand the 'why' behind every intervention.
- 1
Immediate Cardiac Interventions
- ASA and Platelet Inhibition
- Nitroglycerin: Preload and Perfusion
- 2
Respiratory Dynamics
- Salbutamol: Beta-2 Agonism
- Ipratropium Bromide: Anticholinergic Synergy
- Oxygen as a Pharmacological Agent
- 3
Metabolic and Endocrine Crises
- Dextrose: Restoring Glycemic Balance
- Glucagon: The Glycogen Mobilizer
- 4
Allergy and Anaphylaxis
- Epinephrine: The Multi-Receptor Lifesaver
- Diphenhydramine: H1 Receptor Blockade
- 5
Toxicology and Reversal
- Naloxone: Competitive Opioid Antagonism
- Managing the Post-Naloxone Window
- 6
Pain and Symptom Management
- Acetaminophen: Central Analgesia
- NSAIDs: Ibuprofen and Ketorolac
- Dimenhydrinate: Antiemetic Action
- 7
Pharmacological Foundations
- Pharmacokinetics: ADME in the Field
- Receptor Theory and Dynamics
- 8
Clinical Judgment and Safety
- The Six Rights and Error Prevention
- Pediatric Dosing and Calculations
- Geriatric Polypharmacy Challenges
- Med-Legal and Scope Boundaries
8 sections · 20 units · 79 levels. Built to play, not to enroll.
You pick the voice
Ontario Paramedic Pharmacology is taught in the The Professor style: clear, structured, thorough. Want a different feel? In the app you can spin up the same topic in any of Tomo's teaching styles. Same facts, totally different vibe.
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