The Medical Reserves

---------- Forwarded message --------- From: John Ames Birch <amesbirch403@gmail.com> Date: Thu., Oct. 14, 2021, 1:02 a.m. Subject: The Medical Reserves (Opinion) To: <justin.trudeau@parl.gc.ca>, <chrystia.freeland@parl.gc.ca>, <dujarric@un.org>, <drun@un.int>, <aclupreferences@aclu.org>, <antonio.ferrari@un.org>, <actso@naacpnet.org>, <assistance@liberal.ca>, <anthony.rota.c1@parl.gc.ca>, <america@aljazeera.net>, <bcrowfoot@ammsa.com>, <brienne.prusak@newyork.msf.org>, <bernard.choi@boeing.com>, <barbara.warren@disney.com>, <carolyn.bennett@parl.gc.ca>, <calgary@globalnews.ca>, <cnn.feedback@cnn.com>, <cbcpr@cbc.ca>, <dir_enq@cso.gov.hk>, David Hulen <dhulen@adn.com>, <edmonton@globalnews.ca>, <eonline@bellmedia.ca>, <ecampaign@gop.com>, <fatima@caj.ca>, <FoxNationCustomerCare@fox.com>, <Francois-Philippe.Champagne@parl.gc.ca>, <gov.pressoffice@alaska.gov>, <gladcanada.info@gmail.com>, <GlobalBarrie@globalnews.ca>, <GlobalOttawa@globalnews.ca>, <haqf@un.org>, <haveyoursay@bbc.co.uk>, <health@ctv.ca>, <info@ccla.org>, <info@rttv.ru>, <jagmeet.singh@parl.gc.ca>, <kdundar@hdn.com.tr>, <km_ir@kindermorgan.com>, <krishana.polite@nc.gov>, Liz Sauvé <liz.sauve@telus.com>, <msnbctvinfo@nbcuni.com>, <mediarelations@aa.com>, <newsonline@ctv.ca>, <newstips@globaltv.com>, <newschannel@ctv.ca>, <osd.pentagonpressbadges@mail.mil>, <premier@gov.nl.ca>, <premier@gov.ab.ca>, <premier@gov.bc.ca>, <report@aiusa.org>, <reportit@kxan.com>, <rapidresponse@we-worldwide.com>, <sena_fitzmaurice@comcast.com>, <sales@thecanadianpress.com>, <tips@thetexan.news>, <tonews@cbc.ca>, <themayor@calgary.ca>, <ViewerContactCalgary@globalnews.ca>, <ViewerContactToronto@globalnews.ca>, <Vincent.A.Steves@abc.com>, <washingtonbureau@naacpnet.org>, <w5@ctv.ca>, <weekend@cbsnews.com>, <yves-francois.blanchet@parl.gc.ca>, <YourQuestions@bbc.co.uk>, <YDChin@rcclapac.com>, <drtheresa.tam@canada.ca>, <hcinfo.infosc@canada.ca>, <info@bnn.com>, <press@usda.gov>, <press@ocasiocortez.com>, <press@blacklivesmatter.com>, <eurohealthycities@who.int>, <info@ap.org>, <info@abcfp.ca>, <amanpour@cnn.com>, <amanda.leblanc@gov.ab.ca>, <Bernadette.Jordan@parl.gc.ca>, <Erin.OToole@parl.gc.ca>, <annamie.paul@greenparty.ca>, <feedback@arabnews.com>, <feedback@arsenal.co.uk>, <FEMA-NIMS@fema.dhs.gov>

Hey Everyone, I was reading a story that talked about the Triage protocol and how it will only be used for adults. This protocol is in place in case our medical system is overwhelmed and prioritizes care based on survivability. This process limits care and resources to only the patients with a good prognosis leaving the rest to possibly die. This is a difficult decision for any doctor or nurse and we need to ensure more options and resources to prevent this from being enacted at all costs. I therefore propose that we align on an international medical triage procedure for all hospitals. I have said this prior but we need to create separate teams to combat surges or disasters like we face now. This would require the activation of all medical students, doctors, nurses and military personnel. I propose the following teams:

Alpha - Regular care as we see now, they would be responsible for stabilizing new patients and getting them ready for transport to other locations. Once stable, the patient is sent to another temporary triage centre to be cared for by the next team. Beta - This team is responsible for looking after stable patients transferred to their facilities. Gamma - This team is responsible for helping add additional staff where needed. They would be staffed by a doctor, nurses and medical students who would go building to building where there are staff shortages or surges. Delta - This team is composed of surgeons who would look after day to day surgeries and organ transplants. They would be at a separate location to reduce risk of contagion. I have also said prior but we need to create the Medical Reserves, they like our army reserves would be fully trained medical staff that can be activated in case of emergencies. As follows is the new Triage procedure that we should look into instead of the one that prioritizes care based on survivability. I therefore think we should follow this procedure: 1. A medical emergency or pandemic is activated in the world stage and teams start activating into triage teams to be assigned to Alpha, Beta, Gamma or Delta. Hospitals boost supplies and we source an emergency supply chain in addition to the regular supply chain. 2. We activate our medical reserves to help boost supply or medical personnel and manpower. 3. We activate our medical students and seek out any new immigrant with medical training and start medical certification programs online to reaffirm infectious disease protocols. They would then be added to the Gamma team to help in surge locations or hard hit hospitals. 4. We activate our military medical divisions and add them to our medical teams to ensure that we have more qualified surgeons and doctors available. 5. We then start moving personnel to places that are hard hit and enact mitigation strategies in places that are seeing drops in cases. They could be sent province to province in places where they are still overwhelmed. 6. We activate our medical reserve supplies nationally to bolster the supplies in hospitals to prevent rationing. This newly created medical reserve bank that uses first in, first out protocols will ensure we have an emergency cache. 7. Once all the above articles have been exhausted only then should the traditional triage protocol be considered. We need to ensure that our medical system adapts to handle any future pandemics or disasters by ensuring more resources in case of these disasters. We also need to look into adding antibody injections in cases of pathogens to increase survivability and reduce recovery time. Adding the Medical reserve will help in these situations where manpower is stretched thin. These Medical reserves would provide education and training for the members in different areas to create a robust medical army. They would recertify each year and be given wages based on training days. This would help us cope in times of emergency and help the reservist with yearly income to supplement their day to day profession. In an emergency they would report to their local medical director to be given a team and location designation. Once this has been completed they are given personal gear and supplies to help them as well as reservist ambulances and vehicles. I would also certify some as pilots so that we can utilize helicopters to ferry patients to offsite stable locations. Finally, I was thinking about hospitals and how we are lacking some needed pandemic infrastructure. As such we need to start looking at redesigning hospital grounds to include more local pandemic measures and local supply chains that can be activated in times of crisis. These supply chains would be staffed by emergency personnel to create PPE and other needed materials that we find in short supply during times like these. I know that times are tough as we face this pathogen but we cannot forget our humanity along the way. We must ensure that we take every step to save a life and only after exhaustive efforts to prevent triage protocols can we then consider them. If we work together to align on an international standard and manpower procedure we will fare far better during any future medical crisis. This year has been a long and difficult year, especially for our medical staff. Therefore, we need to be there for them and their patients with all resources at our disposal to preserve the standard of care and the morality of our people. As such if we can review the above options in the hopes of aligning on an international standard it would be greatly appreciated. Stay Safe, Stay Sanitized and Stay Supportive, John Ames Birch @johneames2