Overburdened Red Deer hospital forced to airlift COVID-19 patients to Calgary, Edmonton

Critically ill patients are being airlifted out of Red Deer Regional Hospital as doctors and nurses from its various departments are recruited to care for patients on ventilators due to spiking COVID-19 cases in central Alberta.

COVID hospitalizations in Red Deer have jumped 62 per cent (from 83 to 134) and ICU admissions are up 31 per cent (from 16 to 21) in the week from Sept. 7 to Sept. 14.

“Nothing like this has happened before. We’re on the precipice of not being able to provide appropriate care to people,” said Dr. Mike Weldon, an emergency room physician at the central Alberta hospital, which had been battling bed shortages for years prior to the pandemic.

“Over the weekend, sick patients that needed ventilators that normally would have stayed here are being shipped out to Calgary because we don’t have any room left.”

According to Alberta Health Services (AHS), 24 patients have been sent from the central zone to Calgary and Edmonton because of COVID capacity issues since Sept. 1.  

CBC News asked AHS for a response to the situation in the facility, and while it did provide data, it has not yet provided a comment.

“The world is falling apart around these people. First they’re told you have COVID … and then you’re told you have COVID but you’re really, really sick — you need intensive care. And then you’re told you’re … going to be transferred to Edmonton or Calgary,” said internal medicine specialist Dr. Kym Jim.

“You see people on phones. You see people calling family. You see people trying to gather people from afar. The stress on everyone is palpable.”

Critically ill patients are being airlifted out of Red Deer Regional Hospital as COVID-19 cases spike and beds run short. (Red Deer Regional Health Foundation)

And it is unclear how long other hospitals will have capacity to accept Red Deer’s critically ill patients.

“What is going to happen when a person comes to Red Deer and Edmonton or Calgary tells us we no longer can take your patient? Where is that patient going to go?” said Jim.

Twelve additional “surge” beds have already been added to the intensive care unit in Red Deer, doubling its size. 

As of Tuesday afternoon the unit was caring for 21 COVID patients.

Patients are being double bunked in the ICU, the coronary care unit is being used as overflow, and nurses from other departments — including labour and delivery — are now treating intensive care patients.

“Would you or your loved one accept care in an ICU that was staffed by labour and delivery nurses with minimal training on looking after this level of acuity? That is triage. That is rationing care,” said Weldon.

“Just because we’re not shipping people out of province doesn’t mean that we’re not severely strained because of our capacity. In terms of the critical care that’s provided, it’s degraded.”

‘It’s frightening’

The ICU is so stretched, according to Weldon, staff in the emergency room are preparing to care for critically ill patients on ventilators, when there is nowhere else to put them.

“We’re worried … that we’re going to get ventilated patients in our department because that’s the only other place that they can go,” he said.

“It’s frightening, right? I literally came from the other room … and our nurses are reviewing their training on how to work a ventilator. Like that’s where we’re at here.”

Red Deer intensive care specialist Dr. Adam Hall said staff are working to the point of exhaustion to care for the ever-growing number of very sick and dying patients.

“We’ve hit the limit for what we can safely manage,” said Hall. “I worry that as that system gets strained, the outcomes for patients are going to be worse.”

According to Hall, patients are being kept on the regular wards longer than usual because there is no room in the ICU.

“Patients are coming in probably a little later than they would otherwise. We’re trying to keep them on the floor as long as we possibly can. And once they don’t require any ICU , they’re going out very early, even if they are still quite ill.”

AHS said patients are not currently being airlifted out of the province. 

But Weldon said out-of-province transfers are likely imminent. And he believes the AHS critical triage protocol — designed to help doctors make decisions about who gets life-saving care when there aren’t enough ventilators and ICU beds for everyone who needs them — will likely be invoked soon as well.

“It’s almost inevitable given the trajectory of cases and the delay we know between the number of diagnosed cases and the severe outcomes when they start showing up on our doorstep,” Weldon said.

“We have a choice as a province … and we’ve had nothing but absent leadership and, I would argue, mishandling of the entire situation.”

Alberta reported 1,434 new cases of COVID-19 on Tuesday, out of 11,880 tests. 

Provincewide, there are 822 people being treated in hospital, 212 of whom were in intensive care beds. Of those not in ICU, 74.1 per cent were unvaccinated or partially vaccinated, as of Friday. Of those in ICU, 91.2 per cent were unvaccinated or partially vaccinated.

There are 18,265 active cases across Alberta, the highest count in the country.

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