AHS to brief health-care workers on triage protocol in case 'dire situation' should occur

Some Alberta health-care staff will be briefed this week on a protocol for deciding which patients get potentially life-saving care if hospitals become overwhelmed with COVID-19, CBC News has learned.

An Alberta Health Services memo sent to staff said the Alberta Critical Care Triage Framework is a protocol that would be used in the event of a "dire situation" where demand for life-sustaining critical care is greater than the resources available.

The memo which was shared with CBC News describes the framework as a provincewideguide forthe "difficult determination" of allocating those resources to critically ill patients when there are not enough for everyone.

"That they're going to be briefing people on that protocol this week suggests that they think this could get a lot worse," said Dr. James Talbot,Alberta's formerchief medical officer of health.

He is now the co-chairof theEdmonton Zone Medical StaffAssociation strategic COVIDcommittee.

1st time AHS has prepared to use protocols, says doctor

Alberta has the highest rateof active COVID-19 cases in Canada.

As of the last provincial update on Tuesday, there are 635 people in hospital with COVIDacross the province, 143 of whom are in intensive care.

The province recorded its highest testing positivity rate on Tuesday at 11.4 per cent, and is nearing its all-time high active case count, with20,721.

Talbot saidhe believes thiswill be the first time AHS has briefedstaff how to use the protocols since the pandemic began.

He said it is something no heath-care worker ever wants to use.

"Say you have a young person who looked like they were going to survive, and needed an ICU bed and a respirator, and they're all occupied," Talbot said.

"[This protocol is] how do you make the decision about who comes off."

AHS has 'adequate capacity,' spokesperson says

At a press conference on Wednesday, Premier Jason Kenney said he understands AHS is working to update existing triage protocols with advisory groups.

Should it be necessary, Alberta has the capacity to fully staff425 ICU beds, Kenneysaid.

Additional targeted health measures are being considered forjurisdictions with climbingcase numbers, such as the Town of Banff and the Regional Municipality of Wood Buffalo, he said.

"To be clear, right now, we have capacity to deal with this surge," Kenney said. "We cannot take that for granted, but we worked very hard through AHS to give them all the resources they need to expand ICU capacity."

AHS spokesperson Kerry Williamson told CBC News there isno plan to activate the protocols at this time.

"AHS has adequate capacity for both hospitalized and ICU patients. We are constantly monitoring case numbers and preparing our health-care system to ensure it can meet demand," Williamson said in a statement.

"This includes adding both ICU and acute care spaces, as well as, if necessary, redeploying staff and reducing services as we did during the first and second waves."

'It's just a matter of time'

AHShas announced it will cut back scheduled surgeries in Calgary, Edmonton and the northern zone to make room for a possible influx of COVID-19 hospitalizations.

The province has also set up a 100-bed field hospital at the University of Alberta in Edmonton that has not yet been used. Afield hospital in Calgary has been used as an extension of the Peter Lougheed Centre's emergency department.

According to Talbot, Alberta needs to enforce stronger restrictions and its citizens need to get vaccinated quickly to reverse its trajectory.

"Unless something is done to change the rate at which the cases are increasing, it's just a matter of time before we end up exceeding capacity in Alberta," Talbot said.