Emergency response ‘well executed’ in B.C. carbon monoxide poisoning

Emergency response ‘well executed’ in B.C. carbon monoxide poisoning

Emergency Health Services talks about how first responders dealt with this ‘mass casualty event’

More than a dozen ambulances raced to a Delta farm this weekend, as B.C. Emergency Health Services responded to one of their biggest calls of the year in the region.

It’s what the agency calls a “mass casualty event,” with dozens of potential victims, some in serious to critical condition. More than 40 people were taken to hospital for carbon monoxide poisoning after they’d been power-washing a greenhouse.

Despite the confusion at the start as to what exactly happened, the response was “very, very well executed,” BCEHS executive vice president Linda Lupini told Black Press.

“The call came in … as symptoms that the patients thought were related to cleaning fluids: itchy, stinging eyes, dizziness and not feeling well generally.”

READ: Ambulances added, paramedic house calls expanding

The 911 dispatcher ran the caller through a series of questions prompted by the medical dispatch priority system, a computer program that tells dispatchers what questions to ask based on the answers they input.

“They’re trained to use a system because human judgment in those situations is important, but in a secondary way,” said Lupini. “This computer system is better than most individuals.”

Dispatchers still have access to about 30 on-call doctors around B.C., as well as an advanced care paramedic sitting in on the call.

‘Well executed response’

In a press release issued by the company on Dec. 10, Windset farms said workers were disinfecting the greenhouse with gas-powered pressure washers in preparation for the new crop, something that happens annually at this time of the year and which the company says is considered standard practice in the industry.

When the first employee reported a feeling of being unwell, the on-site health and safety team took immediate steps to evacuation of the greenhouse, called for emergency support, and began triaging those most affected.

The first emergency responder sent to the Delta farm was a technical advisor who assessed the scene, Lupini said. They, as well as all other paramedics, are equipped with carbon monoxide monitors that begin to buzz when entering a contaminated area.

Thirteen ambulances were deployed. Paramedics assessed 10 patients in critical condition, and 32 in stable condition. Then, they began looking for hospitals to take the unexpected influx, as well as determining the most efficient means of transportation.

Ambulances respond to a site in northern Coquitlam to take a rescued dog walker to hospital. (Katya Slepian/Black Press)

“In this case, it was clear that most of the patients weren’t severely impacted, so they were put into a bus with four paramedics, some equipment, and then paramedics following the bus,” said Lupini.

The bus delivered patients to hospitals throughout the Lower Mainland: Surrey Memorial, Royal Columbian, Burnaby Hospital, Lionsgate and Vancouver General.

The most severe cases went to the closest hospitals that could treat them: Delta Hospital and Richmond General. Most hospitals can provide the oxygen needed to treat carbon monoxide poisoning, but not all have hyperbaric chambers for the follow-up appointments that the most severely affected patients will need.

“That chamber is pressurized in such a way that massive amounts of oxygen go through your system and replace the carbon monoxide in your body,” said Lupini.

Carbon monoxide poisoning prevents oxygen from circulating properly. The initial symptoms are often flu-like; nausea, headaches, light-headedness. Left untreated, the lack of oxygen will start affected organ functions which can lead to seizures and a coma.

In a press release, Windset Farms it will ensure its workers receive whatever follow up care they require over the coming days and weeks, adding it’s people and their health and safety in the workplace is the company’s top priority.

The farm will be reviewing the incident and considering what changes to its protocols are needed, as well as “working with both public and private agencies to fully understand and further strengthen our response and programs.”

“We are grateful to our site management, our health and safety officer, and our first responders for taking immediate steps to ensure everyone’s safety.”

Paramedics can fall pray to carbon monoxide poisoning too and are required to take a high-risk hazards course and come equipped with personal protective gear. The course also prepares paramedics for other hazardous substances, such as fentanyl, although Lupini said there’s been no recorded instances of that, despite widespread concern.

“The training teaches front-line paramedics not to just run into a scene and not to assume.”


@katslepian

katya.slepian@bpdigital.ca

Like us on Facebook and follow us on Twitter.

Just Posted

Prince Charles Secondary School
School District 8 votes in favour of name change for Secondary School in Creston

In an act of reconciliation, a new name will be chosen for Prince Charles Secondary School

Kootenay-Columbia MP Rob Morrison. Photo courtesy Conservative Party of Canada.
MP Morrison appointed to parliamentary national security committee

Kootenay-Columbia parliamentarian one of five candidates appointed to national security committee

Repaving of Victoria Ave (3rd St. S. to 11th St. S.) began on Monday, June 12. Drivers are asked to please avoid the area for the remainder of the day, if possible. Please watch for and obey directions from flaggers and signage, as the detours will be moving regularly. Photo courtesy City of Cranbrook.
Road construction, repaving programs well underway

Local road construction and repaving work continue apace, as summer programs get… Continue reading

Vendors and customers at one of the Cranbrook markets in 2020. (Corey Bullock/Cranbrook Townsman file)
Cranbrook Farmers Market updates operating hours for the summer

Markets will continue to run from 10a.m. to 1p.m. until October 30th

City council passed first reading of a text amendment to a downtown zoning bylaw that would permit the land use for a craft brewery. Photo courtesy City of Cranbrook.
Downtown zoning amendment allowing craft brewery passes first reading

An application is moving forward that will tweak a downtown zoning bylaw… Continue reading

Maxwell Johnson is seen in Bella Bella, B.C., in an undated photo. The Indigenous man from British Columbia has filed complaints with the B.C. Human Rights Tribunal and the Canadian Human Rights Commission after he and his granddaughter were handcuffed when they tried to open a bank account. THE CANADIAN PRESS/HO-Heiltsuk Nation, Damien Gillis, *MANDATORY CREDIT*
VIDEO: Chiefs join human rights case of Indigenous man handcuffed by police in B.C. bank

Maxwell Johnson said he wants change, not just words, from Vancouver police

Tk’emlups te Secwepemc Chief Rosanne Casimir stands outside the former Kamloops Indian Residential School after speaking to reporters, in Kamloops, B.C., on Friday, June 4, 2021.THE CANADIAN PRESS/Darryl Dyck
Kamloops chief says more unmarked graves will be found across Canada

Chief Rosanne Casimir told a virtual news conference the nation expects to release a report at the end of June

A woman wears a vaccinated sticker after receiving a COVID-19 vaccine at a vaccination clinic run by Vancouver Coastal Health, in Richmond, B.C., Saturday, April 10, 2021. THE CANADIAN PRESS/Jonathan Hayward
B.C. ranks among highest in world in COVID-19 first-dose shots: health officials

More than 76% of eligible people have received their 1st shot

A screenshot of the First Peoples Cultural Councils First Peoples’ Map. (First Peoples Cultural Council)
Online resource blends B.C.-Alberta’s Indigenous languages, art and culture

Advisor says initiative supports the urgent need to preserve Indigenous languages

An artists conception of the new terminal building at the Pitt Meadows Regional Airport.
Air travel taking off in B.C., but lack of traffic controllers a sky-high concern

There will be demand for more air traffic controllers: Miller

Canadian Armed Forces experts are on their way to North Vancouver after a local homeowner expressed worry about a military artifact he recently purchased. (Twitter DNV Fire and Rescue)
Military called in to deal with antique ‘shell’ at North Vancouver home

‘The person somehow purchased a bombshell innocently believing it was an out-of-commission military artifact’

Amy Kobelt and Tony Cruz have set their wedding date for February, hoping that more COVID-19 restrictions will have lifted. (The Macleans)
B.C. couples ‘gambling’ on whether COVID rules will let them dance at their wedding

Amy Kobelt and Tony Cruz pushed back their wedding in hopes of being able to celebrate it without the constraints of COVID-19

A plane is silhouetted as it takes off from Vancouver International Airport in Richmond, B.C., May 13, 2019. THE CANADIAN PRESS/Jonathan Hayward
Report calls for airlines to refund passengers for flights halted due to COVID-19

Conclusion: federal help should be on the condition airlines immediately refund Canadian travellers

Green party Leader Annamie Paul speaks during a news conference on Parliament Hill in Ottawa on Tuesday, June 15, 2021. Paul has survived another day of party strife after a planned ouster shifted course, leaving her with a tenuous grip on power ahead of a likely federal election this year. THE CANADIAN PRESS/Justin Tang
Green Leader Annamie Paul blasts ‘racist,’ ‘sexist’ party execs who sought ouster

Fallout has continued, with two of the federal council’s members resigning

Most Read