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ERs in Canada overwhelmed, face closures – CTV News

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Hospitals overwhelmed by the pandemic’s onslaught are still facing a number of challenges, causing unprecedented wait times in emergency rooms across the country.

Along with limited hospital beds and a backlog of surgeries, a primary cause for dysfunction has been a shortage of physicians and nurses.

Many of the problems facing hospitals are not new, but experts say that the pandemic has exacerbated the situation, leading to a crisis so dire that patients are now starting to see emergency department closures in hospitals near them.

A LONG, ‘LONG WEEKEND’ FOR EMERGENCY ROOMS

On Saturday, Perth and Smith Falls District Hospital (PSFDH) announced a shutdown of its emergency department until Thursday, citing a COVID-19 outbreak. However, its doctors say the real reason is an ongoing staff shortage.

“Yeah, COVID caused the closure of the emergency department, but the reality of it is that we had no built-in resilience of our nursing staff,” Dr. Alan Drummond told CTV National News on Saturday.

Drummond said that PSFDH’s emergency room dropped from 50 nurses down to five, leaving the unit exceptionally thin.

“Somebody needs to be held accountable for the fact that we lost 50 per cent of our nursing staff within several months, which set us up, basically, to fail,” he said.

Drummond said the catchment area for the PSFDH is about 25,000 people in a large geographic area between Smiths Falls and Peterborough, meaning many patients travel long distances to get to the emergency department.

Patients needing urgent care will now have to drive 20 kilometres from Perth to Smiths Falls.

“I don’t think it’s fair for the people in this community,” local resident John Hastings told CTV News on Saturday.

The Town of Clinton in Ontario was without an emergency room for the entire Canada Day long weekend, as the Clinton Public Hospital’s emergency room announced a shutdown from July 1 to 5.

This marked the longest 24-hour closure of the Clinton Public Hospital’s emergency room.

Physician and nurse shortages are to blame, according to Deborah Wiseman, the chief nursing executive with the Huron-Perth Health Alliance, who anticipates more service disruptions this summer.

“Not just this weekend, but what you’ll see is more to come. I’m going to say for the next six months to several years, with our human health care shortages, both in the nursing and physician areas. We are really struggling to maintain services,” Wiseman told CTV National News.

Wiseman said they are investigating everything to try to resolve the health-care worker shortage and keep their emergency rooms open, including using paramedics in emergency rooms.

Other provinces are experiencing similar issues. Six emergency departments in Quebec will be partially shuttered this summer owing to a staffing shortfall, the provincial government announced on Thursday.

Nova Scotia Health says people should expect long wait times in all four health zones because of high demand during the long weekend.

“Unfortunately, we’re currently experiencing what we call ‘bed block,’ where we have a large number of admitted patients and nowhere to send them,” Dr. Margaret Fraser, a physician at Cape Breton Regional Hospital in Sydney, N.S. told CTV National News on Saturday.

Bonnie Nunn, a resident from Trehern, Manitoba, told CTV National News on Saturday that her daughter recently needed emergency treatment and had to be taken to Portage la Prairie, about 45 minutes away, because the Trehern emergency department was closed due to a lack of staff.

“I’m really angry, angry at everything. I don’t think enough thought went into this,” she said.

“I’m not angry at nurses. They need time off too.”

WHAT IS CAUSING THE STAFF SHORAGES?

Dr. Katharine Smart, president of the Canadian Medical Association, told CTV News Atlantic in May that the rate of physician and nurse burnout is double what it was pre-pandemic.

“Our health-care system is at a level of crisis we’ve never really seen, and the health workers are in a state of crisis we’ve never seen,” said Smart.

A June survey released by Statistics Canada showed that 95 per cent of health workers feel that the pandemic has impacted their mental health and has added stress to their work-life balance.

During the pandemic, health workers have faced extended work hours, decreased vacation time, and changes in the method of delivering care.

In the fourth wave of the pandemic between September to November of 2021—the period in which the survey was conducted—many health workers were looking to leave or quit due to job stress or concerns around their mental health.

“How do we retain workers? Probably a raise,” Halifax-based ICU nurse, Elinor Kelly told CTV News Atlantic in May.

“Probably a decent one. I think that’s going to have to help. Especially for critical care nurses because critical care, we have a lot of people that we train and recruit, but after a year or so they can go work privately at triple the amount of money I’m making after 27 years.”

Dr. Paul Saba, a family physician and president of the Council of Physicians at Hôpital de Lachine in Montreal, said he wants the government to make substantial changes.

“The health-care system has to be improved. And it can’t just be a short-term electoral promise … for the next few years, but long-term,” he told CTV National News on Saturday.

With files from Deena Zaidi and CTV News Atlantic

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Whitehead becomes 1st CHL player to verbally commit to playing NCAA hockey

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Braxton Whitehead said Friday he has verbally committed to Arizona State, making him the first member of a Canadian Hockey League team to attempt to play the sport at the Division I U.S. college level since a lawsuit was filed challenging the NCAA’s longstanding ban on players it deems to be professionals.

Whitehead posted on social media he plans to play for the Sun Devils beginning in the 2025-26 season.

An Arizona State spokesperson said the school could not comment on verbal commitments, citing NCAA rules. A message left with the CHL was not immediately returned.

A class-action lawsuit filed Aug. 13 in U.S. District Court in Buffalo, New York, could change the landscape for players from the CHL’s Western Hockey League, Ontario Hockey League and Quebec Maritimes Junior Hockey League. NCAA bylaws consider them professional leagues and bar players from there from the college ranks.

Online court records show the NCAA has not made any response to the lawsuit since it was filed.

“We’re pleased that Arizona State has made this decision, and we’re hopeful that our case will result in many other Division I programs following suit and the NCAA eliminating its ban on CHL players,” Stephen Lagos, one of the lawyers who launched the lawsuit, told The Associated Press in an email.

The lawsuit was filed on behalf of Riley Masterson, of Fort Erie, Ontario, who lost his college eligibility two years ago when, at 16, he appeared in two exhibition games for the OHL’s Windsor Spitfires. And it lists 10 Division 1 hockey programs, which were selected to show they follow the NCAA’s bylaws in barring current or former CHL players.

CHL players receive a stipend of no more than $600 per month for living expenses, which is not considered as income for tax purposes. College players receive scholarships and now can earn money through endorsements and other use of their name, image and likeness (NIL).

The implications of the lawsuit could be far-reaching. If successful, the case could increase competition for college-age talent between North America’s two top producers of NHL draft-eligible players.

“I think that everyone involved in our coaches association is aware of some of the transformational changes that are occurring in collegiate athletics,” Forrest Karr, executive director of American Hockey Coaches Association and Minnesota-Duluth athletic director said last month. “And we are trying to be proactive and trying to learn what we can about those changes.

Karr was not immediately available for comment on Friday.

Earlier this year, Karr established two committees — one each overseeing men’s and women’s hockey — to respond to various questions on eligibility submitted to the group by the NCAA. The men’s committee was scheduled to go over its responses two weeks ago.

Former Minnesota coach and Central Collegiate Hockey Association commissioner Don Lucia said at the time that the lawsuit provides the opportunity for stakeholders to look at the situation.

“I don’t know if it would be necessarily settled through the courts or changes at the NCAA level, but I think the time is certainly fast approaching where some decisions will be made in the near future of what the eligibility will look like for a player that plays in the CHL and NCAA,” Lucia said.

Whitehead, a 20-year-old forward from Alaska who has developed into a point-a-game player, said he plans to play again this season with the Regina Pats of the Western Hockey League.

“The WHL has given me an incredible opportunity to develop as a player, and I couldn’t be more excited,” Whitehead posted on Instagram.

His addition is the latest boon for Arizona State hockey, a program that has blossomed in the desert far from traditional places like Massachusetts, Minnesota and Michigan since entering Division I in 2015. It has already produced NHL talent, including Seattle goaltender Joey Daccord and Josh Doan, the son of longtime Coyotes captain Shane Doan, who now plays for Utah after that team moved from the Phoenix area to Salt Lake City.

___

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Calgary Flames sign forward Jakob Pelletier to one-year contract

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CALGARY – The Calgary Flames signed winger Jakob Pelletier to a one-year, two-way contract on Friday.

The contract has an average annual value of US$800,000.

Pelletier, a 23-year-old from Quebec City, split last season with the Flames and American Hockey League’s Calgary Wranglers.

He produced one goal and two assists in 13 games with the Flames.

Calgary drafted the five-foot-nine, 170-pound forward in the first round, 26th overall, of the 2019 NHL draft.

Pelletier has four goals and six assists in 37 career NHL games.

This report by The Canadian Press was first published Sept. 13, 2024.

The Canadian Press. All rights reserved.



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Kingston mayor’s call to close care hub after fatal assault ‘misguided’: legal clinic

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A community legal clinic in Kingston, Ont., is denouncing the mayor’s calls to clear an encampment and close a supervised consumption site in the city following a series of alleged assaults that left two people dead and one seriously injured.

Kingston police said they were called to an encampment near a safe injection site on Thursday morning, where they allege a 47-year-old male suspect wielded an edged or blunt weapon and attacked three people. Police said he was arrested after officers negotiated with him for several hours.

The suspect is now facing two counts of second-degree murder and one count of attempted murder.

In a social media post, Kingston Mayor Bryan Paterson said he was “absolutely horrified” by the situation.

“We need to clear the encampment, close this safe injection site and the (Integrated Care Hub) until we can find a better way to support our most vulnerable residents,” he wrote.

The Kingston Community Legal Clinic called Paterson’s comments “premature and misguided” on Friday, arguing that such moves could lead to a rise in overdoses, fewer shelter beds and more homelessness.

In a phone interview, Paterson said the encampment was built around the Integrated Care Hub and safe injection site about three years ago. He said the encampment has created a “dangerous situation” in the area and has frequently been the site of fires, assaults and other public safety concerns.

“We have to find a way to be able to provide the services that people need, being empathetic and compassionate to those struggling with homelessness and mental health and addictions issues,” said Paterson, noting that the safe injection site and Integrated Care Hub are not operated by the city.

“But we cannot turn a blind eye to the very real public safety issues.”

When asked how encampment residents and people who use the services would be supported if the sites were closed, Paterson said the city would work with community partners to “find the best way forward” and introduce short-term and long-term changes.

Keeping the status quo “would be a terrible failure,” he argued.

John Done, executive director of the Kingston Community Legal Clinic, criticized the mayor’s comments and said many of the people residing in the encampment may be particularly vulnerable to overdoses and death. The safe injection site and Integrated Care Hub saves lives, he said.

Taking away those services, he said, would be “irresponsible.”

Done said the legal clinic represented several residents of the encampment when the City of Kingston made a court application last summer to clear the encampment. The court found such an injunction would be unconstitutional, he said.

Done added there’s “no reason” to attach blame while the investigation into Thursday’s attacks is ongoing. The two people who died have been identified as 38-year-old Taylor Wilkinson and 41-year-old John Hood.

“There isn’t going to be a quick, easy solution for the fact of homelessness, drug addictions in Kingston,” Done said. “So I would ask the mayor to do what he’s trained to do, which is to simply pause until we have more information.”

The concern surrounding the safe injection site in Kingston follows a recent shift in Ontario’s approach to the overdose crisis.

Last month, the province announced that it would close 10 supervised consumption sites because they’re too close to schools and daycares, and prohibit any new ones from opening as it moves to an abstinence-based treatment model.

This report by The Canadian Press was first published Sept. 13, 2024.

The Canadian Press. All rights reserved.



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