North Queens firefighters in a training exercise. (North Queens Fire Association Facebook page)

The North Queens Fire Association in Caledonia will now be notified of more 911 calls in their community.

“As of right now, if you call 911 and you say you want the fire department to respond, there will be no question. The fire department will be paged out,” Chris Wolfe, chief of the North Queens department, told QCCR on Monday.

Last Monday, about 100 residents, firefighters and other first responders from as far away as Yarmouth met in Caledonia to air their concerns about Nova Scotia’s emergency communications system.

Rural fire departments like North Queens said they weren’t being paged about some medical emergencies in their community, even when residents specifically asked for their help.

Volunteer fire departments can sign up to be a medical first responder agency and respond to various medical emergencies, depending on their level of training. That is vital in rural areas like Caledonia where the nearest ambulance depot is about an hour away.

The 18 trained first responders in North Queens can attend almost any kind of call for help. 

After a couple of high-profile incidents in the community left people waiting for an hour or more for medical help, Wolfe organized the public meeting with help from Queens MLA Kim Masland. She invited officials from Nova Scotia’s Department of Health and Wellness, Emergency Health Services and Emergency Medical Care, the company that operates the province’s ambulance and 911 services.

“Our local MLA Kim Masland’s helped greatly with it,” Wolfe said. “The public showed support that night. It’s just a bunch of various things that’s come together to make people more aware of what’s going on and there is an urgent need for something to change there. I couldn’t be more happy with the way it’s panned out.”

Wolfe is also meeting with EHS officials on Tuesday in Halifax to discuss a potential pilot project with the North Queens department that could be used across the province.

“We’re going to sit down and discuss some possibilities. There will probably be a new protocol put in place. It will start with our department and it will trickle down to different MFR agencies around the province.”

Wolfe said he believes hearing from the public pushed provincial officials to act.

“Oh definitely. I think they realize we’re not going to let it lay to rest and it’s something that needs to be addressed and fixed and they’re on board and they’re going to help us get there.”

Wolfe said he will likely post an update on the department’s Facebook page Tuesday evening after the meeting in Halifax.

Email: rickconradqccr@gmail.com

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Chris Wolfe, chief of the North Queens Fire Association, speaks at a public meeting on Monday evening. (Rick Conrad)

When Mya Uhlman’s father needed medical help last August, her mother called 911 and expected her local fire department to respond.

They were still waiting 20 minutes later, so Uhlman’s mother called again. The 911 dispatcher told her the North Queens Fire Department was on its way. Uhlman’s parents live less than 10 minutes from the fire hall in West Caledonia.

“And they never, ever showed up,” Uhlman told QCCR. “She ended up calling a relative that lived close by to be with her because she was by herself.  … So when I inquired about it, I was told (North Queens) were never paged.

“The ambulance did arrive eventually. It was around 40 minutes before the ambulance did arrive. My father is OK, but it was serious at the time. 

“When my mother explicity asked for the North Queens Fire Department, they should have automatically been dispatched with no questions asked.”

Uhlman’s story and others were why Chief Chris Wolfe called a public meeting at the North Queens fire hall in Caledonia on Monday night.

About 100 residents, firefighters and other first responders from as far away as Yarmouth met to air their concerns about their local fire departments not being called to medical emergencies.

Chief Wolfe sounded the alarm on Facebook in February after another resident called 911 and the dispatcher didn’t notify Wolfe’s department. Instead, that person was still waiting for an ambulance when Wolfe’s deputy chief found out about it and had 911 page the fire department.

Volunteer firefighters around Nova Scotia take medical first responder training. The type of call they can respond to depends on the level their department signs up for. North Queens has 18 people trained to respond to almost any level of medical call.

Wolfe said that 111 of 198 of their calls last year were medical emergencies.

“My mandate is not to give up until we find a solution to this problem of not being paged for certain calls within our communities, because North Queens residents depend on us.”

He contacted Queens MLA Kim Masland to help organize the meeting with officials from the Department of Health and Wellness, Emergency Health Services, and Emergency Medical Care, which has the contract to operate ambulance and 911 service in Nova Scotia.

Masland, who is also the minister of emergency management, told those at the meeting to be frank with their concerns. And she also told people to continue to contact her and other MLAs. 

“I want to make sure that we land where we need to land because what has been happening is not acceptable.”

Representatives from EHS and Emergency Medical Care explained how the system works and the challenges in deploying the right resources in a timely way.

But people like Mya Uhlman wanted to know why their local fire departments wouldn’t be told about a call, especially if the person in distress requested it. A first responder with North Queens also demanded to know why dispatchers would deny that request.

Before officials could answer his question, first responders from the Liverpool, Pubnico and Woods Harbour fire departments also spoke up and said the same thing is happening in their areas.

Jeff Fraser, senior executive director of the emergency health services branch with Nova Scotia’s Department of Health and Wellness, said dispatchers have to follow certain models.

“I’m not so sure we should be denying that. I actually didn’t realize that was happening in that manner.”

Gordon Peckham, who is the vice-president of operations with EMC, said he didn’t know why that’s happening, but that it shouldn’t.

After the meeting, Uhlman said she hopes officials change how and when they notify local fire departments.

“In a way it made me feel a little better to know it wasn’t only us. But at the same time, it really made me feel awful  that this is happening in so many places and so many particularly rural community members are not getting the services they need in a timely fashion.”

Masland said she believes some progress was made at the meeting.

“There were things that were said here tonight that I could see they were raising the eyebrows of people here from EHS. And I think it’s important whenever you have communication that’s when you can start to resolve issues, and that’s what we’re gonna do.”

Chief Wolfe told QCCR that provincial officials promised to work on some of the issues raised and return in six to eight weeks for another public meeting. 

“The community did well supporting us, showing up. They voiced their concerns. Most of the concerns voiced we were aware of. I’m hoping that EMC will take it seriously and we’ll get things resolved.

“You could see the reactions with some of the public talking there that there were things going on that they weren’t even aware of. And I believe that within the next day or two, they’ll be taking those things into consideration and addressing them right away.”

Email: rickconradqccr@gmail.com

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Queens General Hospital. Photo Ed Halverson

The provincial government is following through on a promise to make up-to-date healthcare data available to Nova Scotians.

Residents can now see the daily or most current information for hospitals across the province for a wide range of stats like hospital occupancy, emergency department visits and number of surgeries performed.

Information is presented on an interactive dashboard and gathered from several sources including hospital inpatient, surgical and emergency data bases, continuing care home support and long-term care reports and EHS.

The data contains no information which could identify individual patients.

Government announced the website would be coming as part of their Action for Health plan back in April.

In a release, Health and Wellness Minister Michelle Thompson said, “Change won’t happen overnight. But by sharing this information now, we are holding ourselves accountable to make sure change happens and the system improves in the areas most important to Nova Scotians.”

The website also tracks continuing care services such as the number of people waitlisted for home support and how many have been admitted to long-term care facilities.

EHS is providing weekly numbers of calls, response times and average time it takes to offload patients at each hospital.

The Action for Health website also shows the most current numbers on doctor and nurse recruitment and retention and the number of Nova Scotians without a primary care provider.

The website can be found at novascotia.ca/actionforhealth.

Reported by Ed Halverson 
E-mail: edhalversonnews@gmail.com
Twitter: @edwardhalverson

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Trucks outside North Queens station. Photo Credit: North Queens Fire Department

Medical first responders in North Queens are being told not to respond to calls because of COVID-19.

The MFRs are volunteer firefighters trained to attend to someone in medical distress until paramedics arrive on scene.

Queens-Shelburne MLA Kim Masland says when someone is having a medical emergency, waiting 40 minutes for an ambulance to arrive from the nearest EHS base in Liverpool is too long.

“If you’re living in Caledonia and you’re in cardiac arrest, the local MFRs can no longer come to you, who actually have an AED on site, there’s no way someone’s going to get to you in time,” said Masland.

In March, the EHS/MFR coordinator told MFRs across the province they could respond only to motor vehicle accidents and to leave emergency calls to EHS paramedics because at the time, there wasn’t enough personal protective equipment to go around.

A spokesperson for Emergency Health Services says since COVID-19 restrictions have started to ease up, they have been bringing MFRs back online in 21 areas with high incidents of cardiac arrests.

Already, 11 have received the training around proper use of the new personal protective equipment and are currently operating.

The other ten are slated to return to service in the coming weeks but unfortunately, none of those are in the Western Zone servicing North Queens.

The EHS spokesperson says the North Queens MFR agency is one of the more remote agencies in the province and is also scheduled to receive training in the coming weeks.

Masland is concerned about what could happen if an ambulance can’t get to the area in time.

“We’re so rural, we’re so geographically isolated and if I’m getting text messages saying on a Saturday morning at 11:55 there’s not an ambulance to be seen from Barrington to Halifax, that’s very, very frightening,” said Masland.

North Queens Fire Chief Chris Wolfe says the community has always relied on the department as medical responders and as fire fighters.

He’s frustrated they’re being left in the dark as to why the department is no longer being dispatched for medical emergencies.

“Every time I see somebody in Caledonia they’re saying, why aren’t you guys answering medical calls?So and so had this problem the other night and you guys weren’t there,” said Wolfe. “To me, if EHS is not going to allow us to do this they should be making it more publicly aware and giving briefings to the public on what’s taking place, why we’re not responding.”

Wolfe is well aware of the strain on the province’s ambulance system.

He has been writing to government officials for the past three years to explain the dire situation residents in North Queens can face when looking for emergency medical help.

“It’s an ongoing problem and the province doesn’t seem to see that there is a problem. I’m to the point myself, that I can’t write no more or talk no more to change anything so, where do you go, right? It’s one of them things that a little town fire chief like me isn’t going to be able to fix ‘cause there’s too many people above me that make the decisions,” said Wolfe.

The president of Local 727 of the International Union of Operating Engineers, the union representing paramedics in Nova Scotia, says the EHS system in Nova Scotia is in chaos as it struggles to fill shifts and reduce offloading time for patients at hospitals.

Michael Nickerson says it’s helpful to have MFRs to service remote areas before his members arrive.

“They can provide oxygen therapy and get vital signs and treat fractures, like, splint fractures and dress wounds, bandage and whatnot,” said Niickerson. “So, they are a great, great asset.”

Nickerson says his members have been warning the province since before the COVID-19 outbreak that the pre-hospital system in Nova Scotia is not working.

The health department took those concerns to heart when they commissioned a $145,000 report by Fitch and Associates in October 2018 to review the ambulance system across the province.

The province received the report in December of that year, but Nickerson says despite repeated requests by IUOE 727, they still have not released the results.

“I don’t understand why they’re not putting it out there. They’re saying because, you know, negotiations and whatnot. Our contract’s settled, so they can’t use that as an excuse. They need to put that report out and let us see what’s in it. I’m sure there’s recommendations in there to make the system better than it is right now,” said Nickerson.

Health department spokesperson Marla MacInnis said they are currently in negotiations with Emergency Medical Care Incorporated, the company contracted by the province to provide paramedic services.

She says while the paramedics working under EMCI have a contract in place, the contract with the supplier (ECMI) is still being negotiated and releasing the Fitch report could put the province at a disadvantage.

Back in Queens, Kim Masland says now that the province has the personal protective equipment in place the focus should be on getting the medical first responders trained, and back in action.

“So let’s get our agencies back in the saddle,” said Masland. “Let’s get them doing what they do best in our communities.”

Reported by Ed Halverson 
E-mail: edhalversonnews@gmail.com
Twitter: @edwardhalverson