New Call for Applications: Corrosion Detection in Ships Sandbox /Nouvel appel de candidatures : Environnement protégé relatif à la détection de la corrosion sur les navires

On the same subject

• 

  April 22, 2020 | Local, C4ISR, Security

  Canada’s air medical transport providers say collaboration, communication are keys to pandemic response

  Posted on April 22, 2020 by Lisa Gordon As news of the novel coronavirus – first identified in Wuhan, China in late December – began to percolate its way through the mainstream news media, a few staff members at Ornge, Ontario's air medical transport provider, began to take notice. “It piqued our interest quite early on, since many of us had been through SARS [in 2003],” said Justin Smith, chief flight paramedic. “We began to figure out what PPE we had and what would be required to move forward.” Canada's first case of the novel coronavirus, later named COVID-19, was reported on Jan. 15, 2020. Subsequent cases occurred gradually through the end of February, all among travellers who had returned to Canada from countries affected by the virus. The number of Canadian cases increased sharply in March, and that's when Ornge activated its pandemic plan. Smith was outlining the organization's response during a webinar hosted by the Association of Air Medical Services (AAMS) on April 21. Moderated by association president and CEO, Cameron Curtis, the discussion was billed as a town hall meeting focused on the Canadian air medical community's pandemic response. In addition to Ornge, representatives from Shock Trauma Air Rescue Service (STARS) and B.C. Emergency Health Services (BCEHS) participated in the panel. Ornge, which operates 13 bases across Ontario with a mix of rotary, fixed-wing and land-based patient transport assets, has so far moved 209 confirmed or suspected COVID-19 patients. Overall, 57 per cent were moved with land vehicles, 24 per cent with the Pilatus PC-12 fixed-wing fleet and 19 per cent with its Leonardo AW139 helicopters. So far, the total number of missions Ornge is performing has dropped by about 35 to 45 per cent across the board. Medical director Dr. Michael Peddle attributed that decrease to the cancellation of non-urgent elective procedure transports as well as about a 10 per cent decline in urgent cases compared to last year. Communication has been critical to developing Ornge's pandemic response. Smith said a joint clinical/operational committee has been formed and meets daily to tackle questions that come up about personal protective equipment (PPE), for example, or the way paramedics carry out clinical procedures. Added Peddle: “We discuss active challenges within the fleet. We write operations clinical guidelines – a living document for all frontline staff including aviation AMEs [aircraft maintenance engineers] and paramedics. It outlines operational management processes, PPE, decontamination etc. One of the things we've found very important is communication with frontline staff.” Ornge has implemented weekly town hall meetings for all staff, where some clinical and operational information is provided and questions are answered. In addition, an internal web page provides further resources. “From a process perspective, we've made some changes to our pairings and our staffing to make sure we have capacity if we have issues with our workforce being sick or unable to attend work,” said Peddle. Overall, staffing has been adequate to this point, but Ornge has built a plan for surge management to help it meet the needs of communities across Ontario, if required. While all Ornge employees are screened when they come to work, the patient transport provider has also rolled out some additional skills, said Peddle, including prone ventilation and expanded rapid sequence intubation. A standing item on the organization's checklist is an evaluation of current PPE standards. Ornge medical staff wear gowns, gloves, face shields and eye protection, in line with Ontario guidelines. “One of the mainstays of our approach has been do what you know and do it perfectly,” Smith commented. “We instituted PPE donning and doffing checklists and created a PPE utilization flowchart. As we know in transport medicine, where you don and doff your PPE can vary. We found the flowchart reduced anxiety because it provided rules, including for the pilot group.” While fixed-wing pilots have a high rate of PPE “burn,” it's much lower with rotary-wing. Helicopter pilots don't usually have to help with patient onboarding due to the AW139's self-loading stretcher system. Keeping safe is the priority Ornge is not the only air medical provider who has noticed an overall drop in missions during the pandemic. STARS operates a fleet of Airbus H145, BK117 and Leonardo AW139 helicopters from three bases in Alberta, two in Saskatchewan and one in Manitoba. STARS has been slowly acquiring new H145 aircraft since April 2019, and plans to replace its BK117 and AW139 fleet with a total of nine H145s. “We're actually seeing a decreased mission volume,” said Dave Evans, senior director, Clinical Services, STARS. “We're still transporting urgent patients, the typical heart attacks and strokes we would typically transport. ILI [influenza-like illness]-type transports account for 13 per cent of mission volume right now.” Fortunately, COVID-19 spread in Alberta, Saskatchewan and Manitoba has been below some of the predictive models, he added, and hospitals aren't necessarily overwhelmed yet. STARS has so far transported two confirmed COVID-19 patients since the numbers shot up about a month ago. “With the cancellation of pro sports . . . things got really busy within that first week, with the amount of info needing to be shared and the learnings coming out from Europe and China,” recalled Evans. “It became evident we needed to start a small group just to field all those questions from our crew. So we started the COVID Communications Working Group right away. Our role was to support our chief medical officer to make sure we're following best practices, medical evidence, provincial guidelines across the three provinces. Keeping safe was the priority.” The working group has been sending out frequent communications, both written and video, twice a week. STARS is lucky to have 100 per cent staffing right now, despite a dip in the beginning of the pandemic related to mandatory post-travel isolation. Staff are currently checked for symptoms before each shift, including temperature screening, with documentation required before crews can enter hospitals. Luckily, PPE procurement has been relatively painless and the organization is adjusting usage parameters in accordance with emerging evidence. The COVID Communications Working Group is being led by Dr. Jamin Mulvey, incoming STARS Calgary medical director, who also participated in the webinar. He was working in the U.K. with London Air Ambulance and returned to Canada early in the pandemic. “The biggest challenge is that with a lot of information out there, it's rapidly changing practices and emerging guidelines,” said Mulvey. “We're dealing with a lot of opinion and low-level evidence, and we're trying to sift through it effectively and make robust guidelines for our group. “Some areas that have been a little bit challenging is the discussion on what exactly is an AGMP – or aerosol generating medical procedure – and with non-invasive ventilation strategies, what are the relative risks of AGMP compared to, say, intubation.” STARS has moved away from non-invasive and high flow procedures on its helicopters unless absolutely necessary, based on very strict guidelines and discussion with the on-duty transport physician. Procedures are constantly being evaluated and adjusted where necessary, for both medical staff and flight crews. Jenny Thorpe is a flight nurse who handles stocking and preparedness ordering for the STARS base in Saskatoon, Sask. “Being on the front lines and directly involved in patient care, it's been a learning curve for myself and our crews,” she told the group. “A month ago, there was a high anxiety level. But we've worked as a group and with our leadership, just taking it one day at a time and realizing this isn't a fast process. It's a journey that won't be over quickly.” Thorpe said the team has found success by focusing on the little things that will keep them safe during a mission, such as following strict PPE donning and doffing procedures for medical crew as well as pilots. She is also an advocate of practice drills. “You can talk about PPE and being prepared, but if you haven't prepared and simulated it, you're going to miss steps. I encourage everyone to simulate caring for a COVID patient. “It's about slowing things down, making sure you're making your decisions with purpose and not reacting.” There is no emergency in a pandemic In Canada's westernmost province, the BCEHS team is following the same steady, purposeful path. “When we're doing a call, we've emphasized there is no emergency in a pandemic,” commented Dr. Steve Wheeler, BCEHS medical director, Critical Transfers and Aviation Medicine. “It all comes down to crew safety. We don't rush into it; we plan and make sure everything is set up. We don't run positive pressure other than intubation. If the patient needs to be intubated for the flight, our threshold is very low, we'll have them intubated in the sending facility. We try to methodically plan out the whole trip.” With six air bases throughout the province, BCEHS has also noticed call volumes have declined by about 30 per cent. “We're not doing the regular amount, we're doing one to two COVID transfers per day that are spread between rotor, fixed-wing and ground transports,” said Wheeler. He said the B.C. team's Australian manager established a network of about 15 global air medical organizations early on in the process. They met three times a week by Skype “to try to prepare for PPE, crew safety, medical procedures, how to ventilate or oxygenate patients in flight, etc. That was extremely helpful for us.” To prepare for a possible surge, BCEHS paused its paramedic training and released the instructors for work, placing some senior and junior students into station support roles. The organization examined available PPE options and decided to adopt Tyvek suits, which has decreased the PPE “burn” rate. The service also purchased 3,000 silicone half-mask respirators with reusable canisters and face shields. Educating its pilots was a high priority for BCEHS. They were heavily trained on donning and doffing PPE; they wear gowns instead of Tyvek suits. Wheeler said the pandemic has delivered several lessons to the province. “For us, this has highlighted to government and health authorities the need to improve and increase the capacity of our inter-facility transfers. Government announced yesterday they will provide five new aircraft. In every pandemic or catastrophe, sometimes there is opportunity.” https://www.skiesmag.com/news/canadas-air-medical-transport-providers-say-collaboration-communication-are-keys-to-pandemic-response

• 

  November 2, 2018 | Local, Aerospace, Naval, Land, C4ISR, Security

  Defence Business Planning in Canada

  by Ross Fetterly CGAI Fellow October 2018 “Running any complex organization during a period of major change, especially large and complex organizations, requires careful attention to the essentials of management.”1 The history of defence reform in Canada has been one of a constant struggle to renew both core military capabilities and personnel strengths, while searching for increased efficiency within a limited budget. Indeed, the Canadian Armed Forces/Department of National Defence (DND/CAF) operates on a magnitude and complexity across a broad range of diverse responsibilities unique in Canada. At a time when global security demands our constant attention, and when the CAF operates outside Canada in a less permissive and uncertain environment, resource management is important. The environment is increasingly one of unilateralism and multi-dimensional conflict, with unconventional means used to disrupt both national institutions and long-standing multi-national arrangements. While state organizations commit many non-military actions such as cyber-security attacks, defence organizations have a significant role to play in this domain. This requires resourcing defence to build capacities that support whole-of-government initiatives which enhance the Canadian government's resiliency in response to the multi-dimensional actions taken by illiberal or non-democratic states. Defence business planning has a key role in realigning resources and activities in response to shifting geopolitical realities. Management of defence resources is about transforming them into military capabilities in a relevant manner and in accordance with government policy. Defence establishments are unique within national government institutions, as well as in organizations in general. Nevertheless, they are required to produce certain outputs and are given a range of resources to achieve that. To accomplish assigned tasks, those resources need to be put through a deliberate business-process mechanism. The objective of the defence business planning process is to provide a pragmatic method of documenting organizational priorities and objectives, and communicating them internally while highlighting and addressing any constraints. Business planning is well established within the Canadian defence establishment. In recent years, the business planning approval process has become a key focal point in the departmental Investment Resource Management Committee (IRMC) leading up to the start of a fiscal year. Yet, the 2017 defence policy, Strong, Secure, Engaged (SSE), has dramatically changed the dynamics of resource management at National Defence Headquarters (NDHQ). From a relatively stable status quo, to an environment where programmed personnel, equipment and funding increases are significant, managing change and the new initiatives as articulated in SSE, becomes a central institutional priority. Business planning is the primary process to manage implementation and execution of this relatively ambitious program. The discussion of defence business planning will begin with its challenges, and then provide an overview of factors inherent in resource demands. The third section will examine defence resource management reforms and the impact on implementing SSE, and then address factors affecting change in business planning, as well as consideration of enduring challenges. The final section will highlight that defence business planning is the bridge between near- and long-term planning and then articulate why it will need to act as a primary enabler in implementing SSE-directed activities. Full report: https://www.cgai.ca/defence_business_planning_in_canada

• 

  May 13, 2019 | Local, Aerospace

  New Canadian fighter jets will need U.S. certification: DND

  THE CANADIAN PRESS American officials will need to certify the fighter jet Canada buys at the end of a multibillion-dollar procurement that's started and stopped and started again for more than a decade, ensuring that it's fit to plug into the U.S.'s highest-security intelligence systems. But, says the Department of National Defence's top procurement official, they will not get to decide which plane replaces Canadian military's aging CF-18s. “Ultimately when we select, when we are into the detailed design, at some point, yes, the U.S. will have a role to play in ultimate certification,” Patrick Finn, the Defence Department's assistant deputy minister of materiel, told The Canadian Press. “But the Americans won't be sitting with us with the evaluation and doing that type of work. It will be us.” Some industry sources are nonetheless worried the U.S. could use the certification requirement to block Canada from choosing a non-American plane, particularly given the Trump administration's approach to trade. The federal government this week laid out the latest iteration of its plan for the $19-billion competition to replace Canada's CF-18s with 88 new fighters, which is expected to officially launch in July. While much of the presentation delivered to fighter-jet makers focused on a loosening of industrial-benefit rules (that is, how much the winning bidder will be expected to spend on work and production in Canada), the government also revealed that companies will be asked to show how they plan to meet certain security requirements. Specifically, companies will have until September to explain how they plan to ensure their aircraft can comply with the standards required for handling top-secret intelligence from two security networks in which Canada takes part, called “Five Eyes” and “Two Eyes.” The “Five Eyes” network comprises Canada, the U.S., the United Kingdom, Australia and New Zealand. “Two Eyes” is just Canada and the U.S. and is essential for co-operating in the defence of North America. Meeting those requirements will pose different challenges for the four plane models that are expected to square off to replace the CF-18s, with the U.S.-made Lockheed Martin F-35 and Boeing Super Hornet already fully compliant. The other two expected competitors, the Eurofighter Typhoon and Saab Gripen, will face a tougher time. The Typhoon, which is used by the British military, already meets Five-Eyes requirements, but neither it nor the Swedish-made Gripen meets the Two-Eyes standard. A U.S. Embassy spokesperson in Ottawa emphasized the importance of technological connections between U.S. and Canadian forces on Friday. “We look forward to hearing more about Canada's plans for replacing its current CF-18 aircraft fleet with next-generation aircraft to meet Canada's ongoing military commitments over the coming decades,” Joseph Crook said by email. “We continue to believe in the importance of NATO and NORAD interoperability as a crucial component of Canada's acquisition of defence assets.” Crook said the U.S. hopes its plane manufacturers will get to compete in a fair process. Finn acknowledged in an interview Friday that both European contenders will have some work to do. He revealed for the first time that U.S. certification will be required before new aircraft can plug into the two security networks, but he said that will be years away and have no bearing on which plane replaces the CF-18s. He said the Canadian military has in the past bought non-U.S. equipment that needed to be modified to meet American security requirements, such as radios and sensors for ships and drones. However, industry sources, speaking on condition of anonymity because of a federal gag order on those involved in the fighter project, say there are fears the U.S. could use the security requirements to block Canada from buying a non-American plane. Defence analyst David Perry of the Canadian Global Affairs Institute said those concerns are completely justified given the Trump administration's penchant for using whatever means necessary to get foreign countries to buy U.S. products. “Ultimately, those aircraft have to plug into American systems, so the American government is going to have play some kind of role,” he said of whatever new fighter jet Canada buys. “And the concern the Europeans have is whether or not that effectively gives the Americans a veto over us buying their aircraft.” While unable to rule out the risk entirely, Finn said officials in Washington have consistently said they are open to Canada buying a non-U.S. plane as long as it can meet the security requirements. “The consistent answer we've gotten back is: ‘As long as you meet the criteria, over to you. And we are not going to tell you that a third-party cannot bid. We are telling you obviously it will have to meet our standards and the approach.' ” https://www.theglobeandmail.com/canada/article-new-canadian-fighter-jets-will-need-us-certification-dnd-2/