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

The hiring of out-of-province workers by the Canadian Red Cross to staff the vaccination centre in Langford has raised eyebrows. (Black Press Media file photo)
Red Cross hires out-of-B.C. workers to staff Island vaccination centre

Staffer worries local jobs weren’t offered to local people

Russ Ball (left) and some of the team show off the specimen after they were able to remove it Friday. Photo supplied
Courtenay fossil hunter finds ancient turtle on local river

The specimen will now make its home at the Royal BC Museum

Local carpenter Tyler Bohn embarked on a quest to create the East Sooke Treehouse, after seeing people build similar structures on a Discovery Channel show. (East Sooke Treehouse Facebook photo)
Vancouver Island carpenter builds the ultimate tree fort

East Sooke Treehouse takes flight as an Airbnb

Pat Kauwell, a semi-retired construction manager, lives in his fifth-wheel trailer on Maxey Road because that’s what he can afford on his pension, but a Regional District of Nanaimo bylaw prohibits using RVs as permanent dwellings, leaving Kauwell and others like him with few affordable housing options. (Chris Bush/News Bulletin)
Housing crunch or not, it’s illegal to live in an RV in Nanaimo

Regional District of Nanaimo bylaw forcing pensioner to move RV he calls home off private farm land

A native-to-B.C. wild queen bee (bombus melanopygus for those in the know) feeds on a periwinkle flower. (Submitted/Sarah Johnson, Native Bee Society of BC)
Vancouver Island’s wild bees need messy gardens to survive

The year-long nesting period makes habitat a primary concern for wild bees

In this image from NASA, NASA’s experimental Mars helicopter Ingenuity lands on the surface of Mars Monday, April 19, 2021. The little 4-pound helicopter rose from the dusty red surface into the thin Martian air Monday, achieving the first powered, controlled flight on another planet. (NASA via AP)
VIDEO: NASA’s Mars helicopter takes flight, 1st for another planet

The $85 million helicopter demo was considered high risk, yet high reward

Carver Ken Sheen had almost finished work on a large cowboy carving commissioned by the City of Williams Lake to replace the original overlooking the Stampede Grounds when fire broke out Friday, April 18 at his property between Williams Lake and Quesnel. (Pine River Carving Facebook photos)
Cow boss statue destined for Williams Lake Stampede Grounds goes up in flames

Carver Ken Sheen lost the statue, all his tools and his shop in the blaze

B.C. Labour Minister Harry Bains. (Hansard TV)
B.C. moves to protect employee pay for COVID-19 vaccination

Most won’t need to take time off work, labour minister says

Polystyrene has been outlawed as a take-out option for restaurants in Tofino and Ucluelet. (Black Press Media file photo)
Styrofoam done as a takeout option on Island’s Pacific Rim

Tofino and Ucluelet ban polystyrene take-out containers

The IIO is investigating after a police dog bit a man during a traffic stop near Ladysmith on April 17, 2021. (Black Press Media stock photo)
IIO investigating after police dog bites man near Ladysmith

RCMP dog bit man during traffic stop on Friday, April 17

New figures show Canadian housing prices outpacing those in other developed countries. (Black Press Media file photo)
Canadian housing prices fastest rising in the world

Relative to 2000, housing prices have risen by a factor of more than 2.5

Winston Joseph, with his grandchildren, holds a copy of the letter he wrote to Terry Fox in 1980, which was included in a 2017 exhibit at the Royal BC Museum in Victoria. [photo submitted]
Port Alberni remembers Winston Joseph with Canada Day parade in April

‘Mr. Positive Port Alberni’ started Canada Day folk fest, lived a life of service and faith

Most Read