Wednesday, May 29, 2019 • 10:45 - 12:15
Track 4 - Disaster (2)
Track Chair: Dr. Trevor Jain
Room: 201

Multisystem Response to Broncos MCI in Saskatchewan - Drs. James Stempien, Alison Turnquist, Carlyn Denton

Description: Lessons learned from the response to a rural mass casualty event.

Learning Objectives
At the end of this presentation, participants will be able to:

  1. Apply a systematic approach to a rural mass casualty response.
  2. Describe the “no one hero” mentality as it applies to an MCI.
  3. Anticipate and plan for after care of health care providers following an MCI.
  4. Evaluate an MCI response to plan for future learning.

Dr. James Stempien

Dr. Stempien completed his medical school University of Toronto in 1984. His first job was as a GP anaesthetist in Inuvik in 1986 and then spent the next ten years working in northern Canada and isolated areas internationally. Dr. Stempien has been working in Saskatoon as the head of Emergency Medicine since 2007 and has been the Interim Provincial Head since 2016. He lives in an acreage just east of the city with his wife, 3 children, 20 chickens, and 4 hives of bees.

Dr. Alison Turnquist

I am an Emergency Physician based out of Saskatoon who enjoys providing both adult and pediatric care. My passion is teaching- especially simulation based learning and the use of ultrasound in resuscitation. When I’m not at work, you will find me travelling to any place near the ocean, finding the best food, and going on adventures with my husband and two goofy dogs!

Dr. Carlyn Denton

I am an emergency physician working in Saskatoon, SK. I have interests in simulation, ultrasound and physician wellness. When not working, I try and spend as much time as possible adventuring outside.

The Medical Response to the Belgium Airport Bombings - Dr. Tom Schmitz

Description: On the 22th of March 2016 Belgium was the scene of two violent bombings on its national airport and a crowded subway station. We will look at the incident from the viewpoint of the prehospital first responders, a university hospital and a smaller general hospital that was the closest to the airport.

Learning Objectives
At the end of this presentation, participants will be able to:

  1. Know how to you prepare and train for multi-site incidents.
  2. Understand the complexities of a multi-site incident
  3. Know what to do when waiting for the first victims to arrive.

Pearls:

  1. Bleeding control is essential.
  2. Keep in contact with neighboring hospitals and medical centers.
  3. Be aware for the psychological burden of not receiving patients.

Anesthesiologist with sub specialisations in emergency and disaster medicine. Chair Emergency Medicine Jan Portaels Hospital.

Leadership in Disaster Situations: What We Can Learn from the Military - Dr. Trevor Jain, LCol Dave Coker, LCol Will Patton

Description: This panel will focus on pearls based on how to work with other agencies in disaster situations using a real world scenario. Pitfalls and pearls will be discussed.

Learning Objectives
At the end of this presentation, participants will be able to:

  1. Understand how the Armed Forces works in a disaster situation.
  2. Define leadership principles that facilitate inter agency co-operation.
  3. Know what to avoid when working during inter agency cooperation.

Pearls

  1. Let organizations that have the expertise operated within their framework and to their potential.
  2. Report lines of authority need to be clear during a disaster.
  3. Information can flow freely within a organization during a disaster but decisions can not.

Dr. Jain is an emergency physician who is a specialist in Disaster Medicine. He is the Program Director of the BSc in Paramedicine Program at UPEI as well as the Medical Director in Paramedicine at Holland College. He is a medical officer in the Canadian Armed Forces with multiple deployments in both combat and humanitarian missions who continues to serve.

Description: As part of this panel I will discuss how the military prepares and trains for disasters with a particular focus on preparation for mass casualty incidents (MCI) on multinational deployments. Mass Casualty incidents from Afghanistan and Iraq will be discussed.

Learning Objectives
At the end of this presentation, participants will be able to:

  1. Understand the military’s pre-deployment training approach including our use of simulation, environment re-creation, and training.
  2. Appreciate the importance of ongoing training/rehearsal including mandatory post incident/training debriefing.
  3. Appreciate the importance of all team personnel having a clear understanding of their baseline roles and how their role will change in a MCI.

Pearls

  1. Clear roles and responsibilities are essential.
  2. Rehearsing in your actual working environment is best. If not possible a close re-creation works.
  3. Training with the actual team before the mission/event is vital.

Lieutenant Colonel David Coker is a physician with the Canadian Armed Forces. His experience includes deployments to Kosovo in 2002 (as an engineer), Afghanistan in 2010 as a Trauma Team Leader, and Iraq in 2017 as the Commanding Officer of the Canadian Led Role 2 hospital.

Description: The speaker was the Officer Commanding the NATO Role 3 Hospital in Kandahar, Afghanistan and Chief Trauma Team Leader during ATHENA 5 (2008). He will discuss the personal leadership model and performance cycle, and share lessons-learned applicable to civilian practice.

Learning Objectives
By the end of this presentation, participants will be able to:

  1. Discuss leadership lessons-learned from providing medical care in a sustained, high-intensity combat environment.

Pearls

  1. Preparation
  2. Open communication & realistic therapeutic end-points
  3. “Leaders eat last” — the referential leadership model

Lieutenant Colonel Will Patton is Staff Physician, Emergency Surgery/Trauma Service (ACES), University of Alberta Hospital, Edmonton. Reserve Medical Advisor, Canadian Forces Health Services.