Advertisement

N.W.T. wildfires are forcing towns to empty. How do you evacuate a hospital?

Click to play video: '‘It was worse than we had expected’: West Kelowna fire chief on challenging fight'
‘It was worse than we had expected’: West Kelowna fire chief on challenging fight
West Kelowna Fire Rescue Service Chief Jason Brolund said Friday morning that it was a difficult night Thursday fighting the fires around Kelowna. He said it is going to get worse but people should be prepared to leave if they are asked to and firefighters are in it for the long haul. – Aug 18, 2023

By noon Friday, all Yellowknife residents should have fled the city to seek shelter away from the encroaching fires.

The evacuation order recommended people drive, but not everyone can.

The Stanton Territorial Hospital, the largest in the territory and centre of the acute care system, is in Yellowknife. It has 75 beds for services including surgery and cardiac care.

The city also has several long-term care facilities.

As of 6 p.m. ET Friday, an Alberta Health Services spokesperson said they’ve placed 48 N.W.T. residents in spaces throughout the province and are preparing to support 150 to 200 more.

They also said staff are preparing for 33 obstetrical and 19 dialysis patients.

Click to play video: 'NWT wildfires: Canadian Air Force evacuates 79 long-term care patients as Yellowknife empties'
NWT wildfires: Canadian Air Force evacuates 79 long-term care patients as Yellowknife empties

Evacuating a hospital or medical centre to keep patients safe from wildfires is a complex and potentially risky procedure, according to two people involved in past closures.

Story continues below advertisement

They said it involves planning, practice and adaptability.

Last May, approaching wildfires forced the Nova Scotia Health Authority to evacuate the Roseway Hospital in Shelburne, in the south of the province.

Tanya Nixon, the health authority’s vice-president for operations in the western zone, said staff moved patients with complex needs before the others.

“We ensured that their care plans were kept as up to date as possible and any type of special equipment or care needs that they may have were at the forefront in the event that we did have to evacuate,” she said in a telephone interview.

“Folks that could go home with support and were ready to go home,” she added, “were supported to go home.”

Get the latest Health IQ news. Sent to your email, every week.

Nixon said most patients from the 22 acute medicine beds and emergency department were transported to Fisherman’s Memorial Hospital, about an hour away in Lunenberg, N.S.

Those who could sit for short distances were taken in buses, she said, while others who required stretchers were transported via ambulance.

“We took single rooms and turned them into double rooms and moved patients into rooms that were vacant so they could be settled,” Nixon said.

She said staff drew on plans and had practiced the evacuation many times before the fire forced them to leave.

Story continues below advertisement

“While (evacuations) are high pressure situations, we have checklists and processes that are well-established that we have practiced.”

Click to play video: '‘Never faced a situation like this’: NWT declares states of emergency as fire crisis deepens'
‘Never faced a situation like this’: NWT declares states of emergency as fire crisis deepens

In the lead up, staff had meetings once a day and then twice or more as the flames approached.

They also already had personnel in Fishermen’s Memorial Hospital who helped ensure the right number of beds, mattresses and any specialized equipment was there or could be transported.

They also carried paper copies of patients’ medical records, in case new staff had any difficulty accessing the files digitally.

Click to play video: 'N.W.T. wildfires: Yellowknife is emptying as evacuees arrive in Edmonton'
N.W.T. wildfires: Yellowknife is emptying as evacuees arrive in Edmonton

Edmonton emergency physician Dr. Louis Francescutti, who cared for patients taken from Fort McMurray’s hospital during the 2016 wildfires, said it is vitally important that health-care administrators sort out the logistics before an evacuation.

Story continues below advertisement

“Any upcoming surgeries that are urgent, that need to be done, have to be passed on to the receiving facility, as well,” he said.

He also said its important all residents, not just those needing immediate care, take responsibility for themselves and stock up on gas, batteries and cash.

“Ensure that you’re able to take care of yourself for at least the first 48 hours. Don’t rely on others.

Click to play video: 'Some Yellowknife hospital patients to be airlifted to YVR amid wildfire'
Some Yellowknife hospital patients to be airlifted to YVR amid wildfire

“It’s not as if 20,000 people are going to show up needing health-care the moment they arrive,” he said, referencing the population of Yellowknife.

“But they have to be prepared. So they should have enough of their medication so that… they’re not going to run out of their heart meds or their birth control pills or their asthma puffers.”

Story continues below advertisement

Speaking from Edmonton, he also recommended people have a written list of their medical conditions that they can give to health-care workers if needed.

Everyone needs to be able to adapt very quickly to changing conditions, he stressed.

Click to play video: '‘Run for your life’: NWT residents flee wildfires, find refuge in Alberta'
‘Run for your life’: NWT residents flee wildfires, find refuge in Alberta

Francescutti also said health-care workers in the process of evacuation need to be able to take care of themselves and each other, and not just patients.

Nixon admitted that is something they didn’t anticipate.

“The area that the hospital was in was in a evacuation zone,” she said.

“And we didn’t consider how staff and physicians would get their vehicles off the property afterwards.”

She said the health authority now has plans in place.

Advertisement

Sponsored content

AdChoices